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Individual

CHRISTINA RENEE HALL

Active
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Individual

CHRISTINA RENEE HALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW, LISW-S

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
I.1801299
OH
1041C0700X
Clinical Social Worker
149.015380
IL
1041C0700X
Clinical Social Worker
Primary
I.1801299-SUPV
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0342396
OH
Enumeration date
08/03/2012
Last updated
03/28/2021
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