Individual
CORTNEE A HALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHS,CMS
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.2005673
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0389612
—
OH
01
—
S.2005673
LICENSED SOCIAL WORKER
OH
Enumeration date
01/30/2020
Last updated
08/18/2021
Update your record
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