Theresa Mabel Hall

NPI #1124660626 in Corbin, Kentucky

Provider Information

NPI Number: 1124660626
Entity Type: Individual
Name: Theresa Mabel Hall
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Oct 16, 2019
Last Updated: Oct 16, 2019

Practice Location

Address: 1203 AMERICAN GREETING CARD RD
City: Corbin
State: Kentucky
ZIP Code: 40701-4811
Phone: (606) 528-7010

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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