Individual
DR. MIRIAM FIFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.D, MSS, LSW
Contact information
Practice address
313 S 16TH ST, PHILADELPHIA, PA 19102-4908
(215) 732-8244
Mailing address
110 SAINT PAULS RD, ARDMORE, PA 19003-2811
(215) 917-2237
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW137987
PA
Other
Enumeration date
10/24/2022
Last updated
10/24/2022
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