Most Relevant Information
Provider Data
| NPI Number: | 1003414335 |
| Provider Name: | TRINETTE STEPHENSON HALL LICSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 122948 |
Most Important Dates
| Enumeration Date: | 10/09/2020 |
| Last Updated: | 10/09/2020 |
Provider Practice Location
29 BELCHER AVE
BROCKTON
MA
023014103
Practice Location Phone/Fax
| Phone: | 7817740273 |
| Fax: |
Provider Mailing Location
29 BELCHER AVE
BROCKTON
MA
023014103
Provider Mailing Phone/Fax
| Phone: | 7817740273 |
| Fax: |