Individual
HALINA DZIEWOLSKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LBS
Contact information
Practice address
535 QUEEN STREET, PHILADELPHIA, PA 19147
(215) 803-1483
Mailing address
535 QUEEN ST, PHILADELPHIA, PA 19147-3032
(215) 803-1483
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH000009
PA
Other
Enumeration date
11/20/2018
Last updated
11/20/2018
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