Individual
ELIZABETH HOFFMAN SPORER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1318 MARLBOROUGH ST, PHILADELPHIA, PA 19125-3215
(856) 383-9914
Mailing address
1318 MARLBOROUGH ST, PHILADELPHIA, PA 19125-3215
(856) 383-9914
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
09/30/2020
Last updated
09/30/2020
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