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Individual

MR. CALVIN HALL JR.

Active
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Individual

MR. CALVIN HALL JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
FL
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
172V00000X
Community Health Worker
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003235800
FL
05
0032358001
FL
Enumeration date
07/22/2013
Last updated
07/22/2013
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