Individual
EBONEE HALLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
10535 HOSPITAL WAY, MATHER, CA 95655-4200
(800) 382-8387
Mailing address
10535 HOSPITAL WAY, MATHER, CA 95655-4200
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
20579
MD
Other
Enumeration date
01/24/2021
Last updated
01/24/2021
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