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NPI Code Detail

MEDICARE: MRS. GERMAINE C HALL LMSW, CCTP

MEDICARE: MRS. GERMAINE C HALL LMSW, CCTP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker7954KS

General Provider Information

NPI Number : 1447884143
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. GERMAINE C HALL LMSW, CCTP
Provider Business Mailing Address
First Line : 1906 N REMINGTON CIR
Second Line :
City : ANDOVER
State : KS
Zip : 67002-8100
Country : US
Telephone Number : 316-775-1415
Fax Number :
Provider Business Practice Location Address
First Line : 306 N ROCK RD STE 30
Second Line :
City : WICHITA
State : KS
Zip : 67206-2256
Country : US
Telephone Number : 316-775-1415
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2020
Last Update Date : 04/25/2024

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