Individual
CONNIE HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1114 DARTFORD DR, KISSIMMEE, FL 34758-3056
(904) 352-0393
Mailing address
1114 DARTFORD DR, KISSIMMEE, FL 34758-3056
(904) 352-0393
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
FL
Other
Enumeration date
01/05/2022
Last updated
01/05/2022
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