Individual
JEFF MICHAEL HALL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
SOCIAL WORKER
Contact information
Practice address
3520 TOWER AVE, SUPERIOR, WI 54880-5335
(715) 398-2914
Mailing address
112 PARKWOOD DR, WRENSHALL, MN 55797-9055
(218) 384-3518
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7153123
WI
Other
Enumeration date
05/23/2006
Last updated
07/08/2007
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