Individual
MRS. KATHERINE N. HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1600 SUTTER PL, CLOVIS, NM 88101-4611
(575) 769-4490
Mailing address
1129 AQUARIUS DR, PORTALES, NM 88130-6109
(575) 791-9006
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M-10551
NM
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/12/2016
Last updated
12/18/2019
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