Individual
JULIANNA FOMENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
350 W DURHAM ST, PHILADELPHIA, PA 19119-2901
(215) 584-7093
(718) 779-7775
Mailing address
350 W DURHAM ST, PHILADELPHIA, PA 19119-2901
(215) 584-7093
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
076816-1
NY
1041C0700X
Clinical Social Worker
Primary
CW017430
PA
Other
Enumeration date
01/19/2007
Last updated
07/17/2023
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