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Individual

DR. IRWIN HALL III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D

Contact information

Practice address
1922 N EASTERN AVE, MOORE, OK 73160-5605
(405) 447-6188
(405) 735-5265
Mailing address
701 COTTONWOOD DR, MOORE, OK 73160-8319
(405) 447-6188
(405) 735-5265

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
673
OK

Other

Enumeration date
09/28/2006
Last updated
07/08/2007
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