Individual
KAITLYN ALEXZANDRIA HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12005 E 470 RD, CLAREMORE, OK 74017-7401
(918) 342-0770
Mailing address
12005 E 470 RD, CLAREMORE, OK 74017
(918) 342-0770
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/23/2019
Last updated
12/15/2020
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