Individual
BRIDGET MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4200 MONUMENT ROAD, PHILADELPHIA, PA 19131
(215) 581-9125
Mailing address
4200 MONUMENT ROAD, PHILADELPHIA, PA 19131
(215) 581-9125
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW130818
PA
Other
Enumeration date
09/29/2016
Last updated
09/29/2016
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