Individual
KELLY LOUISE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24865 DETROIT RD, WESTLAKE, OH 44145-2512
(440) 250-8800
Mailing address
215 S LAKE ST, AMHERST, OH 44001-2011
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/19/2019
Last updated
02/19/2019
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