Individual
COURTNEY DIANE OWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
2100 ARCH ST FL 5, PHILADELPHIA, PA 19103-1300
(267) 256-2100
Mailing address
345 MONTGOMERY AVE, BALA CYNWYD, PA 19004-2801
(504) 644-7711
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
CW017267
PA
251S00000X
Community/Behavioral Health Agency
Primary
CW017267
PA
Other
Enumeration date
04/03/2012
Last updated
02/01/2024
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