Individual
ANDRENIA HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8401 OHIO, MERRILLVILLE, IN 46410-6687
(219) 525-4572
(219) 472-0547
Mailing address
654 NEW HAMPSHIRE ST, GARY, IN 46403-2763
(219) 359-9942
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
408203
IN
Other
Enumeration date
02/24/2025
Last updated
02/24/2025
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