Individual
DONNA GRACE KROH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6012 RIDGE AVE, PHILADELPHIA, PA 19128-1697
(215) 487-0914
Mailing address
6012 RIDGE AVE, PHILADELPHIA, PA 19128-1643
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/14/2018
Last updated
10/15/2019
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