Individual
TANIESHA MCFADDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1102 KNORR ST, PHILADELPHIA, PA 19111-4930
(215) 667-5541
(215) 667-5541
Mailing address
1102 KNORR ST, PHILADELPHIA, PA 19111-4930
(215) 667-5541
(215) 667-5541
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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