Individual
EMA TANOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, MPHIL
Contact information
Practice address
245 S 8TH ST, PHILADELPHIA, PA 19106-3520
(215) 829-7341
Mailing address
1951 LOCUST ST APT 3A, PHILADELPHIA, PA 19103-5708
(860) 794-2658
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/09/2020
Last updated
06/09/2020
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