Individual
SHAVAUNNE GOSLEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5420 RUTLAND ST, PHILADELPHIA, PA 19124-1128
(267) 506-8292
Mailing address
5420 RUTLAND ST, PHILADELPHIA, PA 19124-1128
(267) 506-8292
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW130450
PA
Other
Enumeration date
06/02/2015
Last updated
06/02/2015
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