Individual
LISA MADALYN HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1135 GREGG HWY NW, AIKEN, SC 29801-6341
(803) 641-7700
Mailing address
1135 GREGG HWY NW, AIKEN, SC 29801-6341
(803) 641-7700
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/13/2015
Last updated
10/01/2020
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