Individual
MR. CLARENCE B ISZARD JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
3246 NORTH BAILEY STREET, PHILADELPHIA, PA 19129
(215) 837-4084
Mailing address
3246 N BAILEY ST, PHILADELPHIA, PA 19129-1811
(215) 837-4084
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/31/2009
Last updated
07/31/2009
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