Individual
ANGELICA VELASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6645 TABOR AVE, PHILADELPHIA, PA 19111-4719
(267) 702-0287
Mailing address
6645 TABOR AVE, PHILADELPHIA, PA 19111-4719
(267) 702-0287
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/24/2021
Last updated
11/24/2021
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