Individual
KI MARI MANDERBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
142 W MARKET ST STE 2, WEST CHESTER, PA 19382-2930
(610) 616-5890
Mailing address
142 W MARKET ST STE 2, WEST CHESTER, PA 19382-2930
(610) 616-5890
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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