Individual
ANNA FORMAN-GREENWALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1338 MOORE ST, PHILADELPHIA, PA 19148-1528
(917) 657-2378
Mailing address
1338 MOORE ST, PHILADELPHIA, PA 19148-1528
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
126764
PA
Other
Enumeration date
03/16/2022
Last updated
03/16/2022
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