Individual
MARK THOMAS HALE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
255 SPENCER RD STE 101, SAINT PETERS, MO 63376-2574
(636) 939-2550
(636) 939-2551
Mailing address
255 SPENCER RD STE 201, SAINT PETERS, MO 63376-2576
(636) 939-2550
(636) 939-2551
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2024017625
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201844613
LICENSE
MO
01
—
2024017625
LICENSE
MO
Enumeration date
02/01/2019
Last updated
06/18/2024
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