Individual
MRS. AMY JO HALLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, LCSW, LISW-S
Contact information
Practice address
4111 BRADLEY CIRCLE NW, SUITE 150, CANTON, OH 44718
(330) 617-2324
Mailing address
4111 BRADLEY CIRCLE NW, SUITE 150, CANTON, OH 44718
(330) 617-2324
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
59069
TX
1041C0700X
Clinical Social Worker
C010567
NC
1041C0700X
Clinical Social Worker
I.210318189.SUPV
OH
Other
Enumeration date
09/26/2014
Last updated
10/31/2022
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