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Organization
PRACTICE SPACE THERAPY LLC
Active
Organization
PRACTICE SPACE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH MAX PALMER LCSW (OWNER)
(215) 792-3471
Entity
Organization
Contact information
Practice address
644 S 54TH ST, PHILADELPHIA, PA 19143-2604
(215) 792-3471
Mailing address
644 S 54TH ST, PHILADELPHIA, PA 19143-2604
(215) 792-3471
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/21/2026
Last updated
08/21/2026
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