Richard Justin Antall, LISW-S
NPI #1578873113 in Pepper Pike, Ohio
Provider Information
- NPI Number
- 1578873113
- Entity Type
- Individual
- Name
- Richard Justin Antall, LISW-S
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LISW-S
- Enumeration Date
- Oct 18, 2010
- Last Updated
- Dec 16, 2018
Practice Location
- Address
- 3737 LANDER ROAD
- City
- Pepper Pike
- State
- Ohio
- ZIP Code
- 44124-5712
- Phone
- (216) 831-2255
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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