Individual
CARLY RIZZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 S BROAD ST STE 1515, PHILADELPHIA, PA 19110-1006
(484) 580-9213
Mailing address
2020 FITZWATER ST APT 1F, PHILADELPHIA, PA 19146-1368
(267) 982-8725
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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