Individual
ISABELLE AUGUSTA DEWYNGAERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
123 CHESTNUT ST STE 304, PHILADELPHIA, PA 19106-3059
(215) 399-4128
Mailing address
236 PINE ST, PHILADELPHIA, PA 19106-4314
(215) 806-9594
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW142988
PA
Other
Enumeration date
06/25/2025
Last updated
06/25/2025
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