Individual
LARISSA HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
923 MAIN ST, BUFFALO, NY 14203-1121
(716) 881-2591
Mailing address
923 MAIN ST, BUFFALO, NY 14203-1121
(716) 881-2591
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/14/2008
Last updated
05/14/2008
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