Individual
SARA HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6576 SHADY CREEK CT, LITHONIA, GA 30058-3027
(678) 468-7156
Mailing address
6576 SHADY CREEK CT, LITHONIA, GA 30058-3027
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW006668
GA
Other
Enumeration date
11/05/2019
Last updated
12/16/2019
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