Individual
JOHN JOSEPH ANTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
DP00938486
WV
1041C0700X
Clinical Social Worker
I0008182SUPV
OH
Other
Enumeration date
09/13/2016
Last updated
12/20/2021
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