Individual
AMANDA PEGUERO MARQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
122 W ERIE AVE, PHILADELPHIA, PA 19140-2725
(484) 469-5333
Mailing address
122 W ERIE AVE, PHILADELPHIA, PA 19140-2725
(484) 469-5333
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC005925
PA
Other
Enumeration date
06/06/2022
Last updated
06/06/2022
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