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Individual

MS. ANNE ANTONENKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1575 N 52ND ST STE 800, PHILADELPHIA, PA 19131-4741
(215) 694-6282
Mailing address
1575 N 52ND ST STE 800, PHILADELPHIA, PA 19131-4741
(215) 694-6282

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CWO15279
PA

Other

Enumeration date
03/01/2018
Last updated
03/01/2018
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