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Individual

OLIVIA DEBIASE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1348 BAINBRIDGE ST, PHILADELPHIA, PA 19147-1810
(215) 563-0652
Mailing address
2600 W 9TH ST, CHESTER, PA 19013-2040

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1041C0700X
Clinical Social Worker
122650502
PA
1041C0700X
Clinical Social Worker
CW021907
PA

Other

Enumeration date
11/26/2018
Last updated
06/25/2021
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