Individual
KETSIA LEGER PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7212 MONTOUR ST, PHILADELPHIA, PA 19111-4017
(347) 284-8450
Mailing address
7212 MONTOUR ST, PHILADELPHIA, PA 19111-4017
(347) 284-8450
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/26/2016
Last updated
05/26/2016
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