Individual
TIFFANY BRACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
816 BULLOCK AVE, YEADON, PA 19050-3613
(267) 439-2435
Mailing address
816 BULLOCK AVE, YEADON, PA 19050-3613
(267) 439-2435
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW129746
PA
Other
Enumeration date
10/08/2015
Last updated
10/08/2015
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