Whalio Doctors

NPI 1013211713

Mia Yvette Hall, DMFTLCSW

Practitioner Clinical Social Worker Fort Pierce, FL

Practice location

Address
121 N 2nd St Suite301, Fort Pierce, FL 34950-4435
Phone
(772) 595-3773
Fax
(772) 464-0087
Mailing address
121 Nort Second Street Suite301, Ft. Pierce, FL 34950

Registered specialties

Clinical Social Worker Primary
Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence SW4023 (FL)

Registry record

NPI
1013211713
Entity type
Individual
Sex (as registered)
Female
NPI issued
10 Jan 2011
Record last updated
10 Jan 2011

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.