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1285958587
LISA J HALL
IDAHO FALLS, ID
NPI
1285958587
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID 33507)
Enumeration Date
2010-03-16
Last Update Date
2016-10-10
Business Address
-- LISA J HALL LCSW
1600 JOHN ADAMS PKWY STE 102
IDAHO FALLS, ID 83401-4300
Phone number: 208-529-5276
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Mailing Address
-- LISA J HALL LCSW
120 N 200 W FL 1
SALT LAKE CITY, UT 84103-1511
Phone number: 800-537-1000
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