Organization
HOLISTIC THERAPEUTIC ARTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY RAGLAND LCSW (OWNER)
(215) 360-3489
Entity
Organization
Contact information
Practice address
3580 INDIAN QUEEN LN, PHILADELPHIA, PA 19129-1540
(215) 360-3489
Mailing address
35 W MOUNT AIRY AVE, PHILADELPHIA, PA 19119-2402
(215) 360-3489
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW016368
PA
Other
Enumeration date
06/13/2012
Last updated
06/13/2012
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