Individual
COURTNEY HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACSW
Contact information
Practice address
9089 BASE LINE RD STE 200, RANCHO CUCAMONGA, CA 91730-1295
(909) 281-5800
Mailing address
3100 VAN BUREN BLVD APT 518, RIVERSIDE, CA 92503-5678
(301) 806-2505
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
122010
CA
Other
Enumeration date
08/22/2024
Last updated
08/22/2024
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