Individual
CIERRA HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1 ROBIN CT, EDWARDSVILLE, IL 62025-5532
(618) 530-7462
Mailing address
1 ROBIN CT, EDWARDSVILLE, IL 62025-5532
(618) 530-7462
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146010888
IL
235Z00000X
Speech-Language Pathologist
2012016487
MO
Other
Enumeration date
09/28/2012
Last updated
09/03/2015
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