Individual
MRS. TRACIE THOMPSON HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1000 GREEN RD, MADISONVILLE, TN 37354-6457
(423) 442-2454
Mailing address
580 HIWASSEE RD, MADISONVILLE, TN 37354-5832
(423) 442-4802
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
001045
TN
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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