Individual
KRISTIN ASHLIE STATEN HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1125 6TH ST SE, WILLMAR, MN 56201-4675
(320) 235-4613
(855) 625-7406
Mailing address
7343 SAINT THOMAS LOOP, MANASSAS, VA 20109-7116
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904010776
VA
Other
Enumeration date
02/06/2019
Last updated
06/24/2022
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