Individual
SHANTIELA HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1238 OXFORD HILL CT APT 9, SAINT LOUIS, MO 63146-5721
(314) 680-4878
Mailing address
1238 OXFORD HILL CT APT 9, SAINT LOUIS, MO 63146-5721
(314) 680-4878
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
168641
MO
Other
Enumeration date
04/24/2019
Last updated
04/24/2019
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