Individual
ANNA RAE LOVELACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1509 S 19TH ST FL 2, PHILADELPHIA, PA 19146-4615
(215) 789-9167
Mailing address
1509 S 19TH ST FL 2, PHILADELPHIA, PA 19146-4615
(215) 789-9167
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/30/2017
Last updated
11/16/2021
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