Individual
MRS. NICOLE BROWNBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
281 E EVERGREEN ST, WEST GROVE, PA 19390-1027
(610) 234-2913
Mailing address
281 E EVERGREEN ST, WEST GROVE, PA 19390-1027
(610) 234-2913
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW127884
PA
Other
Enumeration date
02/15/2022
Last updated
02/15/2022
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