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Individual

BRENDA A PEMBERTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
461 N 3RD STREET, PHILADELPHIA, PA 19123-4111
(215) 596-0892
(214) 893-5437
Mailing address
5413 RIDGE AVE, PHILADELPHIA, PA 19128-3779
(215) 990-3697

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
07/13/2023
Last updated
07/13/2023
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