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1013211713
MIA YVETTE HALL
FORT PIERCE, FL
NPI
1013211713
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW4023)
Enumeration Date
2011-01-10
Last Update Date
2011-01-10
Business Address
Dr. MIA YVETTE HALL DMFT & LCSW
121 N 2ND ST SUITE301
FORT PIERCE, FL 34950-4435
Phone number: 772-595-3773
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Mailing Address
Dr. MIA YVETTE HALL DMFT & LCSW
121 NORT SECOND STREET SUITE301
FT. PIERCE, FL 34950
Phone number: 772-595-3773
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