Individual
DEVON WOOSNAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
525 S 4TH ST STE 598, PHILADELPHIA, PA 19147-1581
(000) 000-0000
Mailing address
1837 S 18TH ST, PHILADELPHIA, PA 19145-2141
(215) 939-5639
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/02/2024
Last updated
01/02/2024
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