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Individual

DANIELLE CROOM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
2514 N BROAD ST, PHILADELPHIA, PA 19132-4013
(215) 456-2685
Mailing address
920 WAGNER AVE, PHILADELPHIA, PA 19141-2941

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW135965
PA

Other

Enumeration date
04/06/2019
Last updated
04/06/2019
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