Individual
MS. JUDITH ELIZABETH HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1922 N EASTERN AVE, MOORE, OK 73160-5605
(405) 447-6188
Mailing address
701 COTTONWOOD DR, MOORE, OK 73160-8319
(405) 793-9956
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2180
OK
Other
Enumeration date
12/06/2006
Last updated
07/09/2007
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