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Organization
GERALD HALL LLC
Active
Organization
GERALD HALL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEATISHA R DUBOSE (OFFICE MANAGER)
(580) 351-0242
Entity
Organization
Contact information
Practice address
102 SW 12TH ST, LAWTON, OK 73501-3810
(580) 351-0242
(580) 351-0282
Mailing address
102 SW 12TH ST, LAWTON, OK 73501-3810
(580) 351-0242
(580) 351-0282
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
789
OK
106H00000X
Marriage & Family Therapist
Primary
562
OK
Other
Enumeration date
12/13/2006
Last updated
09/11/2025
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