Individual
JENNIFER HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
303 LAFAYETTE ST, LOUISVILLE, CO 80027-1637
(808) 390-0278
Mailing address
303 LAFAYETTE ST, LOUISVILLE, CO 80027-1637
(808) 390-0278
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
09923769
CO
Other
Enumeration date
01/02/2015
Last updated
01/02/2015
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