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Individual

DR. AMY ROSE HALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
200 TARPON TRL, JACKSONVILLE, NC 28546-5287
(910) 938-1114
Mailing address
200 TARPON TRL, JACKSONVILLE, NC 28546-5287
(910) 938-1114

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3373
NC

Other

Enumeration date
07/25/2006
Last updated
09/23/2010
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