Individual
MRS. CHRISTY MARIE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
15495 DENTONVILLE RD, OKMULGEE, OK 74447-8738
(918) 759-1017
Mailing address
15495 DENTONVILLE RD, OKMULGEE, OK 74447-8738
(918) 759-1017
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6231
OK
1041C0700X
Clinical Social Worker
—
OK
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801178280
—
OK
05
—
200378320B
—
OK
Enumeration date
09/12/2011
Last updated
02/16/2026
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