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Individual

MARY HALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1901B AIRLINE DR, METAIRIE, LA 70001-5936
(504) 247-9202
(504) 247-9202
Mailing address
5319 SAINT ANTHONY AVE, NEW ORLEANS, LA 70122-4105
(504) 214-3552

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
8317
LA

Other

Enumeration date
07/20/2020
Last updated
06/12/2024
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