GENESIS A HALL

BLOOMINGTON, IL
NPI1831597392
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149.015658)
Enumeration Date2014-12-16
Last Update Date2015-10-05
Business Address
-- GENESIS A HALL LCSW
707 N EAST ST SUITE 3
BLOOMINGTON, IL 61701-3059
Phone number: 773-587-6062
Mailing Address
-- GENESIS A HALL LCSW
324 REEVESTON DR
BLOOMINGTON, IL 61705-5001
Phone number: 773-587-6062