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1336628874
JONATHAN HALL
DANVERS, MA
NPI
1336628874
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MA 873)
Enumeration Date
2018-08-07
Last Update Date
2018-08-07
Business Address
JONATHAN HALL MA LADC
75 LINDALL ST
DANVERS, MA 01923-2121
Phone number: 978-571-1700
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Mailing Address
JONATHAN HALL MA LADC
2701 RENAISSANCE BLVD FL 4
KING OF PRUSSIA, PA 19406-2781
Phone number: 610-994-2993
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