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Individual

CAITLIN PATRICIA HALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3007 HARBOR LN N, PLYMOUTH, MN 55447-5103
(612) 509-6670
Mailing address
11605 44TH PL N, PLYMOUTH, MN 55442-2474
(612) 751-2201

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
09/19/2020
Last updated
09/19/2020
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