Organization
A STEP FORWARD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORA HALL LPP (LICENSED PSYCHOLOGICAL PRACTITIONER)
(606) 226-5295
Entity
Organization
Contact information
Practice address
8255 KY ROUTE 122, MINNIE, KY 41651-9008
(606) 226-5295
Mailing address
8255 KY ROUTE 122, MINNIE, KY 41651-9008
(606) 226-5295
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
08/19/2019
Last updated
08/19/2019
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