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Individual

DIANA I. HALL

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
126 E ALCOTT AVE, FERGUS FALLS, MN 56537-2903
(218) 736-6987
(218) 736-6980
Mailing address
511 VERNON PL, FERGUS FALLS, MN 56537-3135

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13295
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1029838
PREFERREDONE
FM
01
125515
UCARE MINNESOTA
FM
01
325L2BY
BLUE SHIELD OF MN
MN
01
62-53394
UNITED BEHAVIORAL HEALTH
MN
01
HP30658
HEALTHPARTNERS
MN
Enumeration date
06/10/2006
Last updated
07/08/2007
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