Individual
MARIA JOSE SOTOMAYOR-GIACOMUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
524 N PROVIDENCE RD, MEDIA, PA 19063-3056
(484) 440-9416
(484) 551-0474
Mailing address
524 N PROVIDENCE RD, MEDIA, PA 19063-3056
(484) 440-9416
(484) 551-0474
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW139422
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
PA
Other
Enumeration date
11/29/2021
Last updated
06/25/2022
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