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Individual
MRS. TRACI DONIELLE HALL
Active
Individual
MRS. TRACI DONIELLE HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37455
IL
1041C0700X
Clinical Social Worker
Primary
149022581
IL
1041C0700X
Clinical Social Worker
34011317A
IN
Other
Enumeration date
11/04/2015
Last updated
06/15/2026
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