Individual
KELLY MARASCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
10541 DRUMMOND RD, PHILADELPHIA, PA 19154-3807
(215) 833-3942
Mailing address
10541 DRUMMOND RD, PHILADELPHIA, PA 19154-3807
(215) 833-3942
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
BH000783
PA
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/07/2016
Last updated
01/13/2016
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