Individual
ANNA KATHLEEN LIVAK HALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
489 DOLORES AVE, SAN LEANDRO, CA 94577-5009
(734) 474-7275
Mailing address
489 DOLORES AVE, SAN LEANDRO, CA 94577-5009
(734) 474-7275
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
70992
CA
Other
Enumeration date
05/03/2018
Last updated
05/03/2018
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