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Individual
MR. MARK T. HALES
Active
Individual
MR. MARK T. HALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
06455
IA
1041C0700X
Clinical Social Worker
17133
MN
1041C0700X
Clinical Social Worker
2038
SD
1041C0700X
Clinical Social Worker
Primary
362016-3501
UT
1041C0700X
Clinical Social Worker
3846
ND
Other
Enumeration date
01/17/2007
Last updated
08/28/2025
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