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1528431137
TRACI DONIELLE HALL
GARY, IN
NPI
1528431137
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149022581)
Enumeration Date
2015-11-04
Last Update Date
2024-03-07
Business Address
Mrs. TRACI DONIELLE HALL
1100 W 6TH AVE
GARY, IN 46402-1711
Phone number: 219-885-4264
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Mailing Address
Mrs. TRACI DONIELLE HALL
11100 S BELL AVE APT 100-2
CHICAGO, IL 60643-3909
Phone number: 773-255-5636
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