Provider Information for 1891429486
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HAYLEY D MCLEMORE LCSW
Sex: Female
NPI: 1891429486
Last Updated: 2022-07-11
Certification Date: 2022-07-11
Certification Date: 2022-07-11
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1891429486 | ||||||||
| Enumeration Date | 2022-07-11 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 163 HAWTHORNE AVE APT 249 CENTRAL ISLIP, NY 11722-5123 United States Phone: 631-865-1261 | Fax: | ||||||||
| Primary Practice Address | 163 HAWTHORNE AVE APT 249 CENTRAL ISLIP, NY 11722 United States Phone: 631-865-1261 | Fax: | ||||||||
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