Individual
ALYSSA BROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
3502 SCOTTS LN, PHILADELPHIA, PA 19129-1561
(610) 227-0388
Mailing address
1120 THRUSH LN, AUDUBON, PA 19403-2222
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
135450
PA
Other
Enumeration date
11/29/2018
Last updated
11/29/2018
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