Individual
AKIA IMANI IZZARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1234 N 28TH ST, PHILADELPHIA, PA 19121-4536
(215) 432-5874
Mailing address
1234 N 28TH ST, PHILADELPHIA, PA 19121-4536
(215) 432-5874
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW023914
PA
Other
Enumeration date
09/04/2023
Last updated
09/04/2023
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