DJUAN DESHONGE SHORT

PHILADELPHIA, PA
NPI1013536556
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: PA  CW020719)
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence: NJ  44SC06129200)
Enumeration Date2020-04-14
Last Update Date2025-02-07
Business Address
DJUAN DESHONGE SHORT LCSW
104 S 20TH ST STE V30
PHILADELPHIA, PA 19103-4410
Phone number: 267-225-2630
Mailing Address
DJUAN DESHONGE SHORT LCSW
104 S 20TH ST STE V30
PHILADELPHIA, PA 19103-4410
Phone number: 267-225-2630