Individual
JEREMIAH HALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1789 W JEFFERSON ST, PHOENIX, AZ 85007-3202
(480) 309-1700
Mailing address
1789 W JEFFERSON ST, PHOENIX, AZ 85007-3202
(480) 309-1700
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251B00000X
Case Management Agency
—
—
Other
Enumeration date
01/27/2023
Last updated
01/27/2023
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