Individual
DONYEN P KOFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1919 COTTMAN AVE, PHILADELPHIA, PA 19111-3816
(215) 704-7950
(215) 745-6511
Mailing address
1919 COTTMAN AVE, PHILADELPHIA, PA 19111-3816
(215) 704-7950
(215) 745-6511
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
SW132250
PA
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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