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Individual

JENNIE N HALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116
(180) 094-9100
Mailing address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M6073
MS

Other

Enumeration date
11/08/2006
Last updated
07/08/2007
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