Individual
MELISSA HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
746 WOODLAND CIR, HAUGHTON, LA 71037-8833
(318) 423-3049
Mailing address
746 WOODLAND CIR, HAUGHTON, LA 71037-8833
(318) 423-3049
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/22/2016
Last updated
12/22/2016
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