Individual
MRS. JENNIFER MICHELLE HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ITDS
Contact information
Practice address
96629 SWEETBRIAR LN, YULEE, FL 32097-6031
(904) 556-1850
Mailing address
96629 SWEETBRIAR LN, YULEE, FL 32097-6031
(904) 556-1850
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
02/04/2014
Last updated
02/04/2014
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