Individual
DONNALEE MINTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1233 FAIRVIEW AVE, HAVERTOWN, PA 19083-4218
(610) 789-9399
Mailing address
1233 FAIRVIEW AVE, HAVERTOWN, PA 19083-4218
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW133432
PA
Other
Enumeration date
01/02/2017
Last updated
01/02/2017
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