Individual
DEBORAH SALOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
475 SPRING LANE, PHILADELPHIA, PA 19128
(215) 482-5353
Mailing address
475 SPRING LANE, PHILADELPHIA, PA 19128
(215) 482-5353
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
20-0962249
PA
Other
Enumeration date
03/30/2016
Last updated
03/30/2016
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