TODD BANTOM WATERS

PHILADELPHIA, PA
NPI1578968103
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2014-10-24
Last Update Date2014-10-24
Business Address
Mr. TODD BANTOM WATERS M.S. NCC
8220 CASTOR AVE
PHILADELPHIA, PA 19152-2729
Phone number: 215-554-4469
Mailing Address
Mr. TODD BANTOM WATERS M.S. NCC
8220 CASTOR AVE
PHILADELPHIA, PA 19152-2729
Phone number:
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