Individual
ALEKA KOSTOUROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
ROOSEVELT BLVD & ADAMS AVE, NORTHEAST COMMUNITY CENTER FOR BEHAVIORAL HEALTH, PHILADELPHIA, PA 19124
(215) 831-2800
Mailing address
806 S 10TH ST APT 3R, PHILADELPHIA, PA 19147-2700
(612) 791-0358
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW131593
PA
Other
Enumeration date
09/14/2015
Last updated
09/14/2015
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