Individual
KELLY ALEXANDRA HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
10805 HICKORY RIDGE RD STE 103, COLUMBIA, MD 21044-3868
(410) 387-2763
Mailing address
9755 MILL CENTRE DR APT 529, OWINGS MILLS, MD 21117-3981
(443) 739-5883
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
28297
MD
Other
Enumeration date
05/09/2022
Last updated
05/09/2022
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