Individual
MR. JAMES PETER WALDRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
2801 GRANT AVE, PHILADELPHIA, PA 19114-1032
(609) 576-1624
Mailing address
2801 GRANT AVE, PHILADELPHIA, PA 19114-1032
(609) 576-1624
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MF001032
PA
Other
Enumeration date
02/25/2020
Last updated
02/25/2020
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