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Individual

EMMA DECKOP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS

Contact information

Practice address
1100 N FRONT ST, PHILADELPHIA, PA 19123-1761
(267) 715-0693
Mailing address
2566 FRANKFORD AVE, PHILADELPHIA, PA 19125-1743
(267) 715-0693

Taxonomy

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

Other

Enumeration date
12/04/2024
Last updated
12/04/2024
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