Individual
FREDRICKA HOLLAND-GUY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
401 CAPTAINS WAY, PHILADELPHIA, PA 19146-5209
(215) 627-4834
Mailing address
401 CAPTAINS WAY, PHILADELPHIA, PA 19146-5209
(215) 627-4834
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW003845
PA
Other
Enumeration date
02/22/2018
Last updated
02/22/2018
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