Individual
KIZZY ENOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
5935 SAUL ST RM 102, PHILADELPHIA, PA 19149-3446
(484) 466-6910
Mailing address
5935 SAUL ST RM 102, PHILADELPHIA, PA 19149-3446
(484) 466-6910
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
SW135876
PA
Other
Enumeration date
06/08/2022
Last updated
06/08/2022
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