Individual
MRS. LINDA GAYLE BROCKWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
4 E GERMANTOWN PIKE, SUITE 204, PLYMOUTH MEETING, PA 19462-1533
(215) 316-2777
Mailing address
1921 PANAMA ST, PHILADELPHIA, PA 19103-6609
(215) 732-2372
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW010951L
PA
Other
Enumeration date
11/10/2006
Last updated
07/08/2007
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