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1437121571
THERON LEE HALL
LAWRENCEVILLE, GA
NPI
1437121571
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: GA CSW004092)
Enumeration Date
2006-02-03
Last Update Date
2014-12-30
Business Address
Mr. THERON LEE HALL LCSW
2972 OAK VISTA WAY
LAWRENCEVILLE, GA 30044-6727
Phone number: 770-688-4859
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Mailing Address
Mr. THERON LEE HALL LCSW
2972 OAK VISTA WAY
LAWRENCEVILLE, GA 30044-6727
Phone number: 770-688-4859
Copy
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