Individual
IESHA LIBERATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S, ATR
Contact information
Practice address
2814 SAXTON RD APT B, PHILADELPHIA, PA 19114-2404
(215) 225-1140
Mailing address
2814 SAXTON RD APT B, PHILADELPHIA, PA 19114-2404
(215) 225-1140
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
24-251
PA
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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