Individual
STACEY HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1409 W ROLLA RD, SALEM, MO 65560-2709
(573) 729-6642
Mailing address
1409 W ROLLA RD, SALEM, MO 65560-2709
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
2022036259
MO
Other
Enumeration date
01/31/2024
Last updated
02/06/2024
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