Individual
JUSTINE FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
721 S 17TH ST, PHILADELPHIA, PA 19146-2015
(732) 995-8333
Mailing address
1000 S BROAD ST APT 304, PHILADELPHIA, PA 19146-2248
(732) 995-3333
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW133741
PA
Other
Enumeration date
09/07/2016
Last updated
12/14/2018
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