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Antonina Deverue
Professional Counselor in Philadelphia, Pennsylvania
NPI 1235990789

Antonina Deverue is a Professional Counselor based in Philadelphia, PA and is specialized in Professional. Antonina Deverue practices in Philadelphia, PA. The NPI Number for Antonina Deverue is 1235990789 and holds a License No. PC008783 (Pennsylvania).

The current practice location address for Antonina Deverue is 4641 E Roosevelt Blvd, Philadelphia, PA and can be reached out via phone at 215-831-2962.

Location: 4641 E Roosevelt Blvd, Philadelphia, PA, 19154-3439
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Provider Profile Details
NPI Number
1235990789
Provider Name
Antonina Deverue
Credential
Provider Entity Type
Individual
Gender
Female
Address
4641 E Roosevelt Blvd, Philadelphia, PA, 19154-3439
Phone Number
215-831-2962
Fax Number
Provider Enumeration Date
01/22/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4641 E Roosevelt Blvd
City
State
Zip
19124-2343
Phone Number
215-831-2962
Fax Number
person
Provider Business Mailing Address Details
Address
4641 E Roosevelt Blvd
City
State
Zip
19124-2343
Phone Number
215-831-2962
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
PC008783 (Pennsylvania)
Definition
Definition to come...
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