Organization
INSIGHTFUL MEDIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY HARRIS LCSW (CFO)
(215) 480-5122
Entity
Organization
Contact information
Practice address
6213 N HANCOCK ST, PHILADELPHIA, PA 19120-1504
(215) 480-5122
Mailing address
6213 N HANCOCK ST, PHILADELPHIA, PA 19120-1504
(215) 480-5122
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW018347
PA
Other
Enumeration date
02/05/2015
Last updated
02/05/2015
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