Individual
COURTNEY A HALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7232 JUSTIN WAY, MENTOR, OH 44060-4881
(440) 754-2078
Mailing address
7232 JUSTIN WAY, MENTOR, OH 44060-4881
(440) 754-2078
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.1303608-SUPV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0425955
—
OH
Enumeration date
11/19/2020
Last updated
01/26/2021
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