DERIC ANTOINE HALL

TAMPA, FL
NPI1174208524
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: FL  IMT3706)
Enumeration Date2023-06-21
Last Update Date2023-06-21
Business Address
DERIC ANTOINE HALL
20443 AUTUMN FERN AVE
TAMPA, FL 33647-2967
Phone number: 727-479-5842
Mailing Address
DERIC ANTOINE HALL
20443 AUTUMN FERN AVE
TAMPA, FL 33647-2967
Phone number: 727-479-5842
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