Individual
MS. NEA BREYONA HARGROVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
4038 FORD RD, PHILADELPHIA, PA 19131-1605
(215) 301-8721
Mailing address
4038 FORD RD, PHILADELPHIA, PA 19131-1605
(215) 301-8721
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW133720
PA
Other
Enumeration date
05/12/2017
Last updated
05/12/2017
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