Individual
MS. MICHELE SOUTHWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
J.D., LMFT
Contact information
Practice address
202 DARTMOUTH AVE, SWARTHMORE, PA 19081-1501
(610) 543-1108
(610) 543-1108
Mailing address
202 DARTMOUTH AVE, SWARTHMORE, PA 19081-1501
(610) 543-1108
(610) 543-1108
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MF000280
PA
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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