Individual
DAMALI AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
125 S 9TH ST, PHILADELPHIA, PA 19107-5125
(215) 985-2500
Mailing address
3884 CONSHOHOCKEN AVE, PHILADELPHIA, PA 19131-2822
(267) 979-7956
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC014210
PA
Other
Enumeration date
06/05/2017
Last updated
09/08/2022
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