Individual
MRS. DEBORAH J HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1562 GOLDEN OAKS LOOP S, SOUTHAVEN, MS 38671-6194
(901) 338-0234
Mailing address
1562 GOLDEN OAKS LOOP S, SOUTHAVEN, MS 38671-6194
(901) 338-0234
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-113481
—
Other
Enumeration date
05/21/2022
Last updated
05/21/2022
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