Individual
TRACI ANN BARISCIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
112 N BROAD ST, RM 821, PHILADELPHIA, PA 19102-1512
(215) 568-0860
(215) 568-0769
Mailing address
1040 N 2ND ST, APT 102, PHILADELPHIA, PA 19123-1551
(917) 202-1165
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/03/2010
Last updated
01/03/2022
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