Individual
MR. ANTOINE SAMUEL HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
2275 BRIDGE ST, PHILADELPHIA, PA 19137-1300
(215) 772-0101
Mailing address
239 RICHFIELD RD, UPPER DARBY, PA 19082-4121
(610) 931-5877
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/05/2020
Last updated
02/05/2020
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