Individual
CAMILLE KOENIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
27 WEST ATHENS AVENUE, ARDMORE, PA 19003
(267) 271-0661
Mailing address
1136 N 4TH STREET, APT 2, PHILADELPHIA, PA 19123
(267) 271-0661
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW021984
PA
Other
Enumeration date
09/07/2021
Last updated
09/07/2021
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