Individual
KAREN HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
52 VILLAGE DR, PAGOSA SPRINGS, CO 81147-8368
(970) 264-2104
Mailing address
185 SUTTLE ST, DURANGO, CO 81303-8276
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LSW.0009922284
CO
1041C0700X
Clinical Social Worker
Primary
09926716
CO
Other
Enumeration date
11/08/2018
Last updated
08/28/2020
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