Individual
ALLYSSA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5500 LANGDON ST, PHILADELPHIA, PA 19124-1707
(214) 400-7100
Mailing address
5500 LANGDON ST, PHILADELPHIA, PA 19124-1707
(215) 400-7100
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW020597
PA
Other
Enumeration date
08/13/2020
Last updated
08/13/2020
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