Individual
DOVEN BREZNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6060 RIDGE AVE, PHILADELPHIA, PA 19128-1657
(267) 338-3394
Mailing address
3550 CALUMET ST, PHILADELPHIA, PA 19129-1602
(267) 338-3394
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
CW02089
PA
Other
Enumeration date
08/23/2019
Last updated
09/28/2021
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