Individual
DR. JODY MOSER RUSSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
3020 MARKET ST STE 510, PHILADELPHIA, PA 19104-3735
(267) 388-1095
Mailing address
739 HATHAWAY LN, ARDMORE, PA 19003-2019
(267) 388-1095
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MF000929
PA
Other
Enumeration date
02/26/2018
Last updated
02/26/2018
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