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Individual

MS. COZETTE LANDIS BLUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MFT

Contact information

Practice address
255 S 17TH ST STE 2200, PHILADELPHIA, PA 19103-6221
(215) 839-9607
Mailing address
255 S 17TH ST STE 2200, PHILADELPHIA, PA 19103-6221

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
PA
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
08/16/2022
Last updated
04/15/2026
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