Individual
KRISTIN GORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
27 W DURHAM ST, PHILADELPHIA, PA 19119-2408
(267) 571-8182
Mailing address
PO BOX 27769, PHILADELPHIA, PA 19118-0769
(267) 571-8182
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MF000900
PA
Other
Enumeration date
02/02/2016
Last updated
07/21/2022
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