Individual
REBECCA LYNN HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
53075 LETHA CT, ELKHART, IN 46514-5224
(574) 226-9286
Mailing address
53075 LETHA CT, ELKHART, IN 46514-5224
(574) 226-9286
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
33011679A
IN
171M00000X
Case Manager/Care Coordinator
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
862694508
—
IN
Enumeration date
10/01/2021
Last updated
07/12/2024
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