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Individual

AVERY SIERRA HEYWOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
1959 WEST SPARKS ST, PHILADELPHIA, PA 19141
(215) 346-6684
Mailing address
1305 W CHESTER PIKE STE 18, HAVERTOWN, PA 19083-2929
(215) 346-6684

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
06/01/2023
Last updated
06/01/2023
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