Individual
MARK THOMAS HALE JR.
Active
Individual
MARK THOMAS HALE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
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
Update your record
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