Individual
DIANA PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2401 PENNSYLVANIA AVE STE 1A2, PHILADELPHIA, PA 19130-3002
(215) 922-5683
Mailing address
2401 PENNSYLVANIA AVE STE 1A2, PHILADELPHIA, PA 19130-3002
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW135669
PA
Other
Enumeration date
12/28/2023
Last updated
12/28/2023
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