Individual
DENISE BOTCHEOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2138 S MOLE ST, PHILADELPHIA, PA 19145-3915
(267) 354-0392
Mailing address
2138 S MOLE ST, PHILADELPHIA, PA 19145-3915
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
44SC05998600
NJ
1041C0700X
Clinical Social Worker
Primary
CW018865
PA
Other
Enumeration date
10/14/2021
Last updated
10/14/2021
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