Individual
JUSTIN DAVID HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 265-1711
Mailing address
10421 PRESTWICK NE, ALBUQUERQUE, NM 87111-6554
(808) 308-3974
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SWB-2022-0972
NM
Other
Enumeration date
10/18/2023
Last updated
10/18/2023
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