Individual
RAVEN WOODBURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
146 MONTGOMERY AVE STE 360, BALA CYNWYD, PA 19004-2956
(267) 585-4476
Mailing address
1037 E 4TH ST, ERIE, PA 16507-1835
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
025545
PA
Other
Enumeration date
03/21/2025
Last updated
03/21/2025
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