Individual
HANA KUBKOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1427 SPRUCE ST, PHILADELPHIA, PA 19102-4534
(415) 695-4943
Mailing address
2443 GRAYS FERRY AVE, PHILADELPHIA, PA 19146-2450
(415) 695-4943
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW018206
PA
Other
Enumeration date
01/21/2015
Last updated
05/02/2018
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