Individual
TASHAUANNEA K HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21 STONELEIGH AVE APT 4, BUFFALO, NY 14223-2035
(716) 939-5074
Mailing address
21 STONELEIGH AVE APT 4, BUFFALO, NY 14223-2035
(716) 939-5074
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
Primary
—
NY
Other
Enumeration date
03/14/2022
Last updated
04/11/2022
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