Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | 26729 | CA |
N | 1041C0700X | Clinical Social Worker | ASW20900 | CA |
NPI | 1003016247 |
---|---|
Provider Name | Ms. Sandra Jocelynn Hall |
First Address | San Francisco, CA 94102-5800 |
Second Address | San Francisco, CA 94102-5800 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2007 |
Last Update Date | 01/09/2010 |