Individual
KELLY MIECZKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 CREEKSIDE DR STE 500, POTTSTOWN, PA 19464-9217
(908) 963-0354
Mailing address
504 PARK DR, PLYMOUTH MEETING, PA 19462-2557
(908) 963-0354
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/15/2021
Last updated
12/15/2021
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