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Individual

ANTHONY MARK HALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CADAC

Contact information

Practice address
755 SCOTT CIR, BLDG 559, HICKAM AFB, HI 96853-5399
(808) 449-0175
(808) 449-0195
Mailing address
755 SCOTT CIR, BLDG 559, HICKAM AFB, HI 96853-5399
(808) 449-0175
(808) 449-0195

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
11/05/2007
Last updated
11/05/2007
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