Individual
GENTLE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4730 RORER ST, PHILADELPHIA, PA 19120-4506
(267) 356-7574
Mailing address
4730 RORER ST, PHILADELPHIA, PA 19120-4506
(267) 356-7574
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
07/14/2025
Last updated
07/14/2025
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