Individual
MR. TRIPP LANE HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
602 N BROADWAY ST, TECUMSEH, OK 74873-2020
(405) 585-3777
Mailing address
702 W WOOD ST, SHAWNEE, OK 74801-4705
(405) 585-3777
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
11811
OK
Other
Enumeration date
10/20/2023
Last updated
10/20/2023
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