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Individual

CONNIE AURNETTE HALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
307 ELIZABETH AVE, BROOKLYN, MD 21225-3226
(410) 551-3746
Mailing address
321 OAK MANOR DR APT 203, GLEN BURNIE, MD 21061-5579
(443) 963-7336

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
07/09/2021
Last updated
07/09/2021
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