Individual
CHAVONNE CASSANDRA NIANGANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
5445 OAKLAND ST, PHILA, PA 19124-1210
(267) 303-3512
Mailing address
5445 OAKLAND ST, PHILA, PA 19124-1210
(267) 303-3512
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/16/2008
Last updated
09/16/2008
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