Individual
ANTHONY HA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1190 MOUNT AETNA RD STE 206, HAGERSTOWN, MD 21740-6833
(240) 310-9962
(877) 793-1645
Mailing address
250 ANTIETAM DR, FALLING WATERS, WV 25419-4880
(240) 310-9962
(877) 793-1645
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
28348
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/07/2020
Last updated
10/31/2022
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