MS. Keyonta Shannon Hall

NPI #1902529415 in Crystal, Minnesota

Provider Information

NPI Number
1902529415
Entity Type
Individual
Name
MS. Keyonta Shannon Hall
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor
Enumeration Date
Sep 20, 2022
Last Updated
Sep 20, 2022

Practice Location

Address
5700 BOTTINEAU BLVD STE 210
ZIP Code
55429-3184
Phone
(763) 330-2774

Specialties & Taxonomy Codes

Specialty
Counselor

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