Individual
JOHN HALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
100 POLK COUNTY PLZ, SUITE 50, BALSAM LAKE, WI 54810-9071
(715) 485-8417
(715) 485-8490
Mailing address
PO BOX 32, BALSAM LAKE, WI 54810-0032
(715) 485-8417
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
1640 120
WI
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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