Individual
MRS. LATICIA HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
25207 LAKELAND DR, LOXLEY, AL 36551-7438
(251) 786-2716
Mailing address
25207 LAKELAND DR, LOXLEY, AL 36551-7438
(251) 786-2716
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2339C
AL
Other
Enumeration date
04/27/2021
Last updated
04/27/2021
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