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Individual

MS. KATHRYN JANE HALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
860 S ROBERTS ST # 200, WASILLA, AK 99654-0014
(079) 313-7965
(907) 531-3886
Mailing address
PO BOX 2653, SOLDOTNA, AK 99669-2653
(907) 531-6047

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
114389
AK

Other

Enumeration date
12/01/2010
Last updated
09/01/2021
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