Individual
MISS DONATELLA RICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3900 WOODLAND AVE, PHILADELPHIA, PA 19104-4594
(856) 669-4608
Mailing address
3900 WOODLAND AVE, PHILADELPHIA, PA 19104-4594
(856) 669-4608
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06400200
NJ
Other
Enumeration date
02/13/2024
Last updated
02/13/2024
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