Individual
SOPHAVY PHUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3600 MARKET ST STE 601, PHILADELPHIA, PA 19104-3497
(215) 586-7614
Mailing address
1216 ARCH ST FL 6, PHILADELPHIA, PA 19107-2835
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/27/2017
Last updated
07/27/2017
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