Individual
SHAMEKA HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4076 NEELY RD, FORT WAINWRIGHT, AK 99703
(907) 361-1171
Mailing address
4076 NEELY RD., FORT WAINWRIGHT, AK 99703-1174
(907) 361-1171
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.106736
IL
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
04/06/2022
Last updated
04/06/2022
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