Individual
COLLEEN ELAINE CACACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
2424 E YORK ST STE 114, PHILADELPHIA, PA 19125-3034
(267) 225-2298
Mailing address
2225 TAGGERT ST, PHILADELPHIA, PA 19125-2917
(850) 292-6568
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/30/2019
Last updated
01/30/2019
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