Mary Robyn Hall, LCSW
Social Worker, Clinical in Knightdale, NC. Individual provider (NPI-1).
NPI number1629635537
StatusActive
Last updated in NPPESJun 28, 2024
Details
- NPI
- 1629635537
- Entity type
- Individual (NPI-1)
- Name
- Mary Robyn Hall
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 27, 2019
- Certification date
- Jun 20, 2024
- Last updated
- Jun 28, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | C016564 | NC | Yes |
| 104100000X | Social Worker | 105863 | NY |
Practice location
1520 Aragon Dr Apt 104Knightdale, NC 27545-6023
Phone 631-384-1713
Mailing address
1520 Aragon Dr Apt 104Knightdale, NC 27545-6023
Phone 631-384-1713
Other practice locations
440 Furrow Rd
Holbrook, NY 11741
Holbrook, NY 11741
Phone 631-645-4262
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