Individual
INDIA SUZANNE SPEARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
230 S BROAD ST STE 1305, PHILADELPHIA, PA 19102-4104
(215) 545-1175
Mailing address
1326 SIGEL ST, PHILADELPHIA, PA 19148-2123
(408) 466-7492
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW023943
PA
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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