Organization
LADIPO GROUP PSYCHOTHERAPY FOR OUR COMMUNITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA LADIPO (OWNER & DIRECTOR)
(267) 908-6363
Entity
Organization
Contact information
Practice address
255 S 17TH ST STE 2704, PHILADELPHIA, PA 19103-6228
(267) 908-6363
Mailing address
255 S 17TH ST STE 2704, PHILADELPHIA, PA 19103-6228
(267) 908-6363
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW015409
PA
Other
Enumeration date
07/18/2014
Last updated
03/29/2021
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