Individual
SHARIFFAH CHUMA AZZAAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5862 N 6TH ST, PHILADELPHIA, PA 19120-1303
(302) 307-1663
Mailing address
5862 N 6TH ST, PHILADELPHIA, PA 19120-1303
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-29537
ZZ
Other
Enumeration date
06/14/2020
Last updated
06/14/2020
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