Individual
EMMA HAZANOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, M.ED
Contact information
Practice address
1518 WALNUT ST, #1604, PHILADELPHIA, PA 19102-3419
(215) 831-2874
Mailing address
1518 WALNUT ST, #1604, PHILADELPHIA, PA 19102-3419
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW018474
PA
Other
Enumeration date
11/15/2012
Last updated
04/22/2015
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