Individual
THEODORA HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3035 NW 63RD ST STE 201, OKLAHOMA CITY, OK 73116-3606
(405) 842-8801
Mailing address
3035 NW 63RD ST STE 201, OKLAHOMA CITY, OK 73116-3606
(405) 842-8801
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/21/2010
Last updated
04/21/2010
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