Individual
SARIA IBRAHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9651 CLARK STREET, PHILADELPHIA, PA 19115
(267) 616-3000
Mailing address
9651 CLARK ST, PHILADELPHIA, PA 19115-3335
(267) 616-3000
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
PA
Other
Enumeration date
11/17/2015
Last updated
11/17/2015
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