Individual
FLORENCE SISANG MUNGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6724 RISING SUN AVE FL 1, PHILADELPHIA, PA 19111-4629
(215) 214-5941
(215) 214-5941
Mailing address
6724 RISING SUN AVE FL 1, PHILADELPHIA, PA 19111-4629
(215) 214-5941
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC011220
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PC011220
BOARD OF SOCIAL WORKER AND PROFESSIONAL COUNSELOR
PA
Enumeration date
07/31/2021
Last updated
07/31/2021
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