Individual
KORRIMA HORTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1315 WINDRIM AVE, PHILADELPHIA, PA 19141-2710
(215) 456-2687
Mailing address
1623 OLIVE ST, PHILADELPHIA, PA 19130-2817
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/20/2020
Last updated
02/20/2020
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