Individual
MS. TRACEY TANENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1800 JFK BLVD STE 888, PHILADELPHIA, PA 19103-7406
(215) 382-6680
Mailing address
4025 CHESTNUT ST, PHILADELPHIA, PA 19104-3081
(215) 382-6680
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MF001050
PA
Other
Enumeration date
03/08/2019
Last updated
03/08/2019
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