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Individual

SAGE E DEROSA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
255 S 17TH ST STE 2100, PHILADELPHIA, PA 19103-6211
(267) 225-8629
Mailing address
737 N 26TH ST APT 2F, PHILADELPHIA, PA 19130-2400
(267) 225-8629

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary

Other

Enumeration date
04/22/2025
Last updated
04/22/2025
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