Individual
MONIQUE HEDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1420 WALNUT ST STE 1350, PHILADELPHIA, PA 19102-4019
(215) 664-3200
Mailing address
1420 WALNUT ST STE 1350, PHILADELPHIA, PA 19102-4019
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11408
PA
Other
Enumeration date
07/16/2018
Last updated
07/16/2018
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