Individual
MRS. OLIVIA MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 WALNUT ST STE 300, PHILADELPHIA, PA 19102-3502
(215) 563-7863
Mailing address
4812 BALTIMORE AVE, PHILADELPHIA, PA 19143-3419
(215) 563-7863
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/01/2020
Last updated
08/10/2021
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