Individual
ISABELLE GAUTHIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5429 CHESTNUT ST STE G3, PHILADELPHIA, PA 19139-3325
(215) 397-4429
Mailing address
5-26 WILDE AVE, DREXEL HILL, PA 19026-5528
(484) 574-9647
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MF000873
PA
Other
Enumeration date
07/13/2019
Last updated
07/13/2019
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