Individual
MS. TAYE MARIE HALLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 W SCHOOL HOUSE LN, PHILADELPHIA, PA 19144-3404
(215) 951-4754
Mailing address
100 W SCHOOL HOUSE LN, PHILADELPHIA, PA 19144-3404
(215) 951-4754
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW130832
PA
Other
Enumeration date
09/17/2013
Last updated
10/01/2013
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