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Individual

DR. DALESA RUEDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
6120 CATHARINE ST, PHILADELPHIA, PA 19143-2206
(484) 301-0870
Mailing address
1111 JEFFERSON AVE, WOODLYN, PA 19094-1313
(484) 301-0870

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
0000040
DE
106H00000X
Marriage & Family Therapist
Primary
MF000643
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000040
LICENSE
DE
Enumeration date
04/04/2020
Last updated
01/02/2025
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