Individual
ANGELA HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
220 MOUNT MERCY DR # 4, PEWEE VALLEY, KY 40056-8024
(502) 939-9728
Mailing address
1902 PITTYPAT RUN, LA GRANGE, KY 40031-8970
(502) 939-9728
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
260584
KY
Other
Enumeration date
06/16/2020
Last updated
06/16/2020
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