Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | 1848 | CO |
NPI | 1003199035 |
---|---|
Provider Name | Megan Noelle Hall |
First Address | Aurora, CO 80014-2622 |
Second Address | Aurora, CO 80014-2622 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2011 |
Last Update Date | 26/09/2011 |