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Individual
MS. LUCY S HALL
Active
Individual
MS. LUCY S HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
115070
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000023532
BMC
MA
01
—
042611055
TAX ID
MA
01
—
1004745
NHP
MA
01
—
110113710A
MASSHEALTH PID
MA
01
—
1303287
MBHP
MA
05
—
1303287
—
MA
05
—
81263575
—
NH
01
—
99618201
NETWORK HEALTH
MA
01
—
M18633
BCBS
MA
Enumeration date
04/28/2009
Last updated
08/29/2016
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