Individual
ANTONIA BETANCOURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
434 GREENVIEW LN, HAVERTOWN, PA 19083-4317
(610) 853-6233
Mailing address
434 GREENVIEW LN, HAVERTOWN, PA 19083-4317
(610) 853-6233
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW015300
PA
Other
Enumeration date
12/15/2009
Last updated
12/15/2009
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