Individual
LISHALY MADERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2566 FRANKFORD AVE, PHILADELPHIA, PA 19125-1743
(609) 369-2880
Mailing address
2842 MILLER ST, PHILADELPHIA, PA 19134-4727
(609) 369-2880
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW140127
PA
Other
Enumeration date
03/06/2023
Last updated
03/06/2023
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