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1679946172
KENNETH HALL
MONROE, LA
NPI
1679946172
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2015-11-05
Last Update Date
2018-06-01
Business Address
KENNETH HALL
4951 CENTRAL AVE
MONROE, LA 71203
Phone number: 318-340-1535
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Mailing Address
KENNETH HALL
4951 CENTRAL AVE
MONROE, LA 71203-6156
Phone number: 318-340-1535
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