Individual
MRS. AMANDA DIANE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1905 S HUTCHINSON AVE, ADEL, GA 31620-5246
(229) 896-4559
(229) 896-8367
Mailing address
3120 N OAK STREET EXT STE C, VALDOSTA, GA 31602-5910
(229) 896-4559
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
MSW000828
GA
1041C0700X
Clinical Social Worker
Primary
CSW004508
GA
Other
Enumeration date
10/05/2006
Last updated
09/03/2020
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