Individual
SARAFINA KIETZMAN-NICKLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
4718 WINDSOR AVE, PHILADELPHIA, PA 19143-3517
(215) 834-0060
Mailing address
4718 WINDSOR AVE, PHILADELPHIA, PA 19143-3517
(215) 834-0060
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MF001671
PA
Other
Enumeration date
03/21/2025
Last updated
03/21/2025
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