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: |