Individual
MS. MARY ELIZABETH HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
411 STAVE MILL RD, MURPHYSBORO, IL 62966-4888
(618) 559-8358
Mailing address
411 STAVE MILL RD, MURPHYSBORO, IL 62966-4888
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
356321
IL
Other
Enumeration date
12/18/2017
Last updated
12/18/2017
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