Individual
JORDYN STAAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
4200 MONUMENT RD, PHILADELPHIA, PA 19131-1625
(845) 664-4933
Mailing address
1414 DICKINSON ST APT 3, PHILADELPHIA, PA 19146-4817
(845) 664-4933
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
—
—
Other
Enumeration date
03/26/2020
Last updated
03/26/2020
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