Individual
AELITA SADYKOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
1235 PINE ST, PHILADELPHIA, PA 19107-5945
(215) 735-9379
Mailing address
35 E GRAVERS LN, PHILADELPHIA, PA 19118-3303
(215) 247-9409
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/05/2007
Last updated
11/05/2007
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