Individual
MS. DESIREE DRIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SC
Contact information
Practice address
2417 WELSH RD STE 209, PHILADELPHIA, PA 19114-2211
(215) 214-5104
(800) 218-2559
Mailing address
2417 WELSH RD STE 209, PHILADELPHIA, PA 19114-2211
(215) 214-5104
(800) 218-2559
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103496547-0001
—
PA
Enumeration date
03/31/2020
Last updated
03/31/2020
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