Provider Information for 1013258656
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Mrs. KANEKA D HALL LCSW, LISW-CP
Other Names:Former Name:KANEKA D EARLY LCSWSex: Female
NPI: 1013258656
Last Updated: 2023-05-23
Certification Date: 2023-05-23
Certification Date: 2023-05-23
Details
| Name | Value | ||||||||||||||||||||
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| NPI | 1013258656 | ||||||||||||||||||||
| Enumeration Date | 2013-03-06 | ||||||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||||||
| Sole Proprietor | NO | ||||||||||||||||||||
| Status | Active | ||||||||||||||||||||
| Mailing Address | 9137 E MINERAL CIR STE 110 CENTENNIAL, CO 80112-3422 United States Phone: 303-953-9405 | Fax:303-284-9624 | ||||||||||||||||||||
| Primary Practice Address | 9137 E MINERAL CIR STE 110 CENTENNIAL, CO 80112-3422 United States Phone: 303-953-9405 | Fax:303-284-9624 | ||||||||||||||||||||
| Secondary Practice Address(es) | 101 CABARRUS AVE E | ||||||||||||||||||||
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