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Individual

BALLY RADATTI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1819 JOHN F KENNEDY BLVD STE 302, PHILADELPHIA, PA 19103-1729
(610) 265-3400
Mailing address
138 BAINBRIDGE ST APT 2, PHILADELPHIA, PA 19147-2402
(215) 859-8500

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
07/09/2022
Last updated
07/09/2022
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