Individual
TRECIA JEAN HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
5400 CORACI BLVD APT 7202, PORT ORANGE, FL 32128-7581
(352) 718-4888
Mailing address
5400 CORACI BLVD APT 7202, PORT ORANGE, FL 32128-7581
(352) 718-4888
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
Primary
—
—
Other
Enumeration date
01/02/2025
Last updated
01/02/2025
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