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1922453380
DONNELL SOUTHALL
RIVERSIDE, CA
NPI
1922453380
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
1041S0200X Social Worker, School
Enumeration Date
2016-05-04
Last Update Date
2019-05-23
Business Address
DONNELL SOUTHALL
3125 MYERS ST
RIVERSIDE, CA 92503-5527
Phone number: 951-358-4840
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Mailing Address
DONNELL SOUTHALL
3840 MYERS ST
RIVERSIDE, CA 92503-3614
Phone number: 951-515-5844
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