Individual
JOHANNA AGNEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1206 E PALMER ST APT 1, PHILADELPHIA, PA 19125-3360
(215) 237-0750
Mailing address
3443 LIVINGSTON ST, PHILADELPHIA, PA 19134-5320
(215) 237-0750
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC009917
PA
Other
Enumeration date
10/17/2019
Last updated
10/17/2019
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