Individual
CATHY C HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
500 W FORT ST, BOISE, ID 83702-4501
(208) 422-1000
Mailing address
8565 W CARBON CT, BOISE, ID 83709-5195
(208) 362-2772
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-1239
ID
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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