Individual
CARLENE MERCURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
CCC-SLP
Contact information
Practice address
1510 S 22ND ST FL 1, PHILADELPHIA, PA 19146-4201
(267) 438-5949
Mailing address
1510 S 22ND ST FL 1, PHILADELPHIA, PA 19146-4201
(267) 438-5949
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
41YS01254000
NJ
235Z00000X
Speech-Language Pathologist
Primary
SL017611
PA
Other
Enumeration date
11/06/2024
Last updated
11/06/2024
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