Individual
FIDELKA MARIA ESPINAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3620 SHARON TER, PENNSAUKEN, NJ 08110-3755
(856) 571-6403
Mailing address
3620 SHARON TER, PENNSAUKEN, NJ 08110-3755
(856) 571-6403
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/13/2021
Last updated
06/13/2021
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