Individual
LEAH SANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2035 S 4TH ST, PHILADELPHIA, PA 19148-2550
(215) 307-7819
Mailing address
2035 S 4TH ST, PHILADELPHIA, PA 19148-2550
(215) 307-7819
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/23/2021
Last updated
04/23/2021
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