Individual
EVELYN MAMMEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2514 N BROAD ST, PHILADELPHIA, PA 19132-4013
(215) 599-2845
Mailing address
1126 ORIOLE DR, BENSALEM, PA 19020-4410
(631) 487-0897
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/24/2020
Last updated
07/24/2020
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