Individual
RICKTESHA HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1401 WALNUT ST, 1350, PHILADELPHIA, PA 19102-3128
(215) 664-3200
Mailing address
639 PIERCE ST, PHILADELPHIA, PA 19148-1719
(267) 593-9387
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103TBO200X
—
PA
05
—
104100000X
—
PA
Enumeration date
11/14/2016
Last updated
11/14/2016
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