Individual
LILLIAN AUTUNM HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1033 LARCHWOOD RD, MANSFIELD, OH 44907-2424
(419) 747-1422
(419) 747-4126
Mailing address
39 HELEN AVE, MANSFIELD, OH 44903-5003
(740) 751-8833
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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