DONNELL SOUTHALL

RIVERSIDE, CA
NPI1922453380
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Additional Taxonomies1041S0200X Social Worker, School
Enumeration Date2016-05-04
Last Update Date2019-05-23
Business Address
DONNELL SOUTHALL
3125 MYERS ST
RIVERSIDE, CA 92503-5527
Phone number: 951-358-4840
Mailing Address
DONNELL SOUTHALL
3840 MYERS ST
RIVERSIDE, CA 92503-3614
Phone number: 951-515-5844
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