Individual
REDET FISEHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 S 22ND ST, PHILADELPHIA, PA 19145-1940
(267) 475-7808
Mailing address
551 W LANCASTER AVE, HAVERFORD, PA 19041-1419
(267) 475-7808
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123456789
NO LICENSE
—
Enumeration date
06/04/2018
Last updated
06/04/2018
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