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Individual
ABBEY HALL
Active
Individual
ABBEY HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0904015716
VA
1041C0700X
Clinical Social Worker
Primary
LC200002279
DC
1041C0700X
Clinical Social Worker
SW20642
FL
Other
Enumeration date
06/12/2024
Last updated
06/12/2024
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