MR. Luther Ryan Hale, LCSW

NPI #1285963223 in Emmett, Idaho

Provider Information

NPI Number: 1285963223
Entity Type: Individual
Name: MR. Luther Ryan Hale, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Dec 22, 2009
Last Updated: Mar 3, 2020

Practice Location

Address: 2640 W SOUTHSLOPE RD
City: Emmett
State: Idaho
ZIP Code: 83617-8800
Phone: (208) 407-8916

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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