Individual
HENRIETTA ANNE SOOGOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1063 MOSSER RD APT D104, BREINIGSVILLE, PA 18031-1361
(949) 282-3344
Mailing address
PO BOX 748465, ATLANTA, GA 30374-8465
(855) 284-7483
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
PA
Other
Enumeration date
01/04/2024
Last updated
01/04/2024
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