Most Relevant Information
Provider Data
NPI Number: | 1003552456 |
Provider Name: | KELLY ALEXANDRA HALL LMSW |
Entity Type: | Individual |
Taxonomy Code: | 104100000X |
Specialty: | Social Worker |
License Number: | 28297 |
Most Important Dates
Enumeration Date: | 05/09/2022 |
Last Updated: | 05/09/2022 |
Provider Practice Location
10805 HICKORY RIDGE RD STE 103
COLUMBIA
MD
210443868
Practice Location Phone/Fax
Phone: | 4103872763 |
Fax: |
Provider Mailing Location
9755 MILL CENTRE DR APT 529
OWINGS MILLS
MD
211173981
Provider Mailing Phone/Fax
Phone: | 4437395883 |
Fax: |