Individual
ANA OH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2110 E NORRIS ST, PHILADELPHIA, PA 19125-1946
(415) 900-8362
Mailing address
2110 E NORRIS ST, PHILADELPHIA, PA 19125-1946
(415) 900-8362
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
12540426-3501
UT
1041C0700X
Clinical Social Worker
88192
CA
1041C0700X
Clinical Social Worker
Primary
CW023684
PA
Other
Enumeration date
07/13/2020
Last updated
03/14/2024
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