Individual
MRS. TONYA MACCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3075 W RIDGE PIKE, EAGLEVILLE, PA 19403-1534
(610) 547-0768
Mailing address
69 ROBODA BLVD, ROYERSFORD, PA 19468-2962
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW128269
PA
Other
Enumeration date
11/23/2010
Last updated
11/23/2010
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