Individual
ALICE WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, MSED, LCSW
Contact information
Practice address
4526 LOCUST ST FL 2, PHILADELPHIA, PA 19139-4517
(314) 520-3097
Mailing address
4526 LOCUST ST FL 2, PHILADELPHIA, PA 19139-4517
(314) 520-3097
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CW022347
PA
Other
Enumeration date
01/08/2022
Last updated
01/08/2022
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