Individual
MADJANIE AUGUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3901 MARKET ST, PHILADELPHIA, PA 19104-3133
(215) 243-2821
Mailing address
1216 ARCH ST FL 6, PHILADELPHIA, PA 19107-2835
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/12/2017
Last updated
07/12/2017
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