Individual
CARLY STANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1777 SENTRY PKWY W STE 300, BLUE BELL, PA 19422-2211
(215) 767-7096
Mailing address
104 S 20TH ST STE 12, PHILADELPHIA, PA 19103-4410
(215) 469-1782
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC010650
PA
Other
Enumeration date
03/28/2019
Last updated
06/10/2021
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