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Individual
DONNELL SOUTHALL
Active
Individual
DONNELL SOUTHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041S0200X
School Social Worker
—
CA
Other
Enumeration date
05/04/2016
Last updated
05/23/2019
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