Individual
LORI L HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LCSW
Contact information
Practice address
2100 CHURCH ST STE 202, EAST TROY, WI 53120-1304
(561) 319-1580
Mailing address
PO BOX 1090, PMB# 170, MINOCQUA, WI 54548
(561) 319-1580
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
149009753
IL
1041C0700X
Clinical Social Worker
Primary
149009753
IL
1041C0700X
Clinical Social Worker
SW13728
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1750463451
NPI
—
Enumeration date
10/20/2006
Last updated
09/16/2023
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