Individual
STEPHANIE DEVAUGHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(267) 259-2213
Mailing address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(267) 259-2213
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW142563
PA
Other
Enumeration date
08/07/2025
Last updated
08/07/2025
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