Individual
PAPA AMADOU SOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2514 N BROAD ST, PHILADELPHIA, PA 19132-4013
(215) 599-2862
Mailing address
2514 N BROAD ST, PHILADELPHIA, PA 19132-4013
(215) 599-2862
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
PA
Other
Enumeration date
05/14/2013
Last updated
05/30/2013
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