NPI 1003039389

John Hale, LSW

Practitioner Case Manager/Care Coordinator Balsam Lake, WI

Practice location

Address: 100 Polk County Plz Suite 50, Balsam Lake, WI 54810-9071
Phone: (715) 485-8417
Fax: (715) 485-8490
Mailing address: PO Box 32, Balsam Lake, WI 54810-0032

Registered specialties

Case Manager/Care Coordinator Primary

Other Service Providers Taxonomy 171M00000X Licence 1640 120 (WI)

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Registry record

NPI: 1003039389
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Apr 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.