Genesis A Hall, LCSW
NPI #1831597392 in Bloomington, Illinois
Provider Information
- NPI Number
- 1831597392
- Entity Type
- Individual
- Name
- Genesis A Hall, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Dec 16, 2014
- Last Updated
- Oct 5, 2015
Practice Location
- Address
- 707 N EAST ST
- Address 2
- SUITE 3
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61701-3059
- Phone
- (773) 587-6062
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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