Individual
TOM HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
709 MILL ST, CAMDEN, SC 29020-4738
(803) 432-6902
Mailing address
709 MILL ST, CAMDEN, SC 29020-4738
(803) 432-6902
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/09/2018
Last updated
01/09/2018
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