Individual
GENNEFER HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
766 N 44TH ST, PHILADELPHIA, PA 19104-1362
(267) 603-2119
Mailing address
766 N 44TH ST, PHILADELPHIA, PA 19104-1362
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW136687
PA
Other
Enumeration date
06/14/2022
Last updated
06/14/2022
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