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Individual

THERON HUFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA

Contact information

Practice address
123 S BROAD ST STE 1641, PHILADELPHIA, PA 19109-1027
(267) 457-4611
Mailing address
840 N 20TH ST, PHILADELPHIA, PA 19130-2006
(484) 356-6520

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
02/28/2022
Last updated
02/28/2022
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