SearchGeorgia1041C0700X

Theron Hall, LCSW

NPI 1437121571 · on the registry since 2006 · sole proprietor

Practice

Address
2972 Oak Vista Way
Lawrenceville, GA 30044
Phone
(770) 688-4859

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-12-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia