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Individual

MISS DIANNI FAITH HALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
80 PARK STREET, MONTCLAIR, NJ 07042
(973) 746-0333
(973) 746-1533
Mailing address
80 PARK ST, MONTCLAIR, NJ 07042-2904
(973) 746-0333
(973) 746-1533

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
NJ

Other

Enumeration date
12/16/2018
Last updated
12/16/2018
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