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Individual

CLAIRE PARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
21 S 11TH ST STE 216, PHILADELPHIA, PA 19107-4223
(501) 295-3728
Mailing address
1327 SPRUCE ST APT 5B, PHILADELPHIA, PA 19107-5690
(732) 856-0293

Taxonomy

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

Other

Enumeration date
09/24/2024
Last updated
09/24/2024
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