Individual
MRS. LEIGH SUPERFINE GOLDWASSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., LBS
Contact information
Practice address
759 S HICKS ST, PHILADELPHIA, PA 19146-2135
(267) 688-6017
Mailing address
759 S HICKS ST, PHILADELPHIA, PA 19146-2135
(267) 688-6017
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH002442
PA
Other
Enumeration date
12/03/2014
Last updated
12/03/2014
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