Individual
KRISTIANNA HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
501 FOREST AVE, PORTLAND, ME 04101-1503
(207) 536-5990
Mailing address
501 FOREST AVE, PORTLAND, ME 04101-1503
(207) 536-5990
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC15710
ME
Other
Enumeration date
03/22/2013
Last updated
03/06/2024
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