Individual
TAKAHIDE TANAKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
4225 CHESTNUT ST, PHILADELPHIA, PA 19104-3014
(215) 386-1298
Mailing address
4225 CHESTNUT ST, PHILADELPHIA, PA 19104-3014
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/16/2019
Last updated
07/16/2019
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