Individual
GBOLO KOWOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
239 GLENDALE RD, UPPER DARBY, PA 19082
(267) 808-6476
Mailing address
239 GLENDALE RD, UPPER DARBY, PA 19082-4017
(267) 808-6476
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
BH002378
—
Other
Enumeration date
08/30/2022
Last updated
08/30/2022
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