Individual
EMILY E NUSSDORFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6814 QUINCY ST APT 3F, PHILADELPHIA, PA 19119-2670
(610) 322-6864
Mailing address
6814 QUINCY ST APT 3F, PHILADELPHIA, PA 19119-2670
(610) 322-6864
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PC013602
PA
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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