Individual
DEIRDRE MARIE COSGROVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
100 S BROAD ST STE 1304, PHILADELPHIA, PA 19110-1004
(267) 838-0066
Mailing address
1438 W PORTER ST FL 1, PHILADELPHIA, PA 19145-4644
(609) 385-8679
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MF000976
PA
Other
Enumeration date
02/02/2018
Last updated
02/02/2018
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