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Individual

ERICA CHRISTINE HALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A., CCC-SLP

Contact information

Practice address
558 E 2ND ST, POWELL, WY 82435-2001
(307) 754-2864
(307) 754-9829
Mailing address
558 EAST 2ND ST, POWELL, WY 82435-2001
(307) 754-2864
(307) 754-9829

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-535
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1770688871
WY
Enumeration date
05/05/2010
Last updated
05/05/2010
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