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1831597392
GENESIS A HALL
BLOOMINGTON, IL
NPI
1831597392
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.015658)
Enumeration Date
2014-12-16
Last Update Date
2015-10-05
Business Address
-- GENESIS A HALL LCSW
707 N EAST ST SUITE 3
BLOOMINGTON, IL 61701-3059
Phone number: 773-587-6062
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Mailing Address
-- GENESIS A HALL LCSW
324 REEVESTON DR
BLOOMINGTON, IL 61705-5001
Phone number: 773-587-6062
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