Individual
JULIE ZAVAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3900 WOODLAND AVE, PHILADELPHIA, PA 19104-4551
(215) 823-5800
Mailing address
3900 WOODLAND AVE, PHILADELPHIA, PA 19104-4551
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD.0001348
CO
1041C0700X
Clinical Social Worker
CSW.09926275
CO
1041C0700X
Clinical Social Worker
Primary
CW022536
PA
Other
Enumeration date
07/28/2017
Last updated
04/03/2024
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