Individual
TIMOTHY MCDONALD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1942 N FRONT ST APT 201, PHILADELPHIA, PA 19122-2458
(919) 282-4357
Mailing address
1942 N FRONT ST APT 201, PHILADELPHIA, PA 19122-2458
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW140688
PA
Other
Enumeration date
10/27/2023
Last updated
10/27/2023
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