Individual
LA-TOYA V LARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2817 LILLIAN AVE, WILLOW GROVE, PA 19090-4334
(267) 917-0334
Mailing address
PO BOX 1379, WILLOW GROVE, PA 19090-5579
(267) 917-0334
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CW023795
PA
Other
Enumeration date
02/07/2023
Last updated
07/30/2024
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