| Darbouze, Llc | |
|
419 Davisville Rd Willow Grove PA 19090-2713 | |
| (215) 479-0774 | |
| (856) 242-2955 |
| Full Name | Darbouze, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 419 Davisville Rd, Willow Grove, Pennsylvania |
| Authorized Official Name and Position | Shakita Minzy (HUMAN RESOURCE COORDINATOR) |
| Authorized Official Contact | 8566761148 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Darbouze, Llc 419 Davisville Rd Willow Grove PA 19090-2713 Ph: (215) 479-0774 | Darbouze, Llc 419 Davisville Rd Willow Grove PA 19090-2713 Ph: (215) 479-0774 |
| NPI Number | 1689155582 |
|---|---|
| Provider Enumeration Date | 08/28/2018 |
| Last Update Date | 05/13/2025 |
| Certification Date | 05/13/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689155582 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC05693900 (New Jersey) | Primary |
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