Individual
JENNIFER R. HALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1500 W. COLUMBIA ST., FARMINGTON, MO 63640
(573) 760-1365
Mailing address
1500 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-3318
(573) 778-4293
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2014011619
MO
Other
Enumeration date
01/23/2015
Last updated
09/17/2021
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