Individual
TASHANE A SIMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7201 RIDGE AVE, PHILADELPHIA, PA 19128-3202
(267) 902-6815
Mailing address
312 PARKER AVE APT 316, PHILADELPHIA, PA 19128-4438
(267) 902-6815
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW142128
PA
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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