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Individual

MRS. LAURIE HALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
7501 INTERNATIONAL BLVD, OAKLAND, CA 94621-2843
(510) 835-9610
(510) 569-4965
Mailing address
7501 INTERNATIONAL BLVD, OAKLAND, CA 94621-2843
(510) 835-9610
(510) 569-4965

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary

Other

Enumeration date
10/10/2016
Last updated
10/10/2016
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