Individual
MRS. JUDITH A HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
908 S WASHINGTON ST, MARION, IN 46953-1969
(765) 664-1057
Mailing address
908 S WASHINGTON ST, MARION, IN 46953-1969
(765) 664-1057
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
34005075A
IN
1041C0700X
Clinical Social Worker
Primary
34005075A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200365360
—
IN
Enumeration date
11/04/2006
Last updated
08/15/2013
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