Brenda Arlene Stafford MHS

NPI 1053592493 - Counselor - 101YA0400X

NPI Details
NPI 1053592493
Gender Female
Enumeration Date 11/14/2007
Last Updated 11/14/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1315 WINDRIM AVE
PHILADELPHIA PA, 19141-2710, US
Phone (215) 456-2647
Fax (215) 456-2713
Business Location
1315 WINDRIM AVE
PHILADELPHIA PA, 19141-2710, US
Phone (215) 456-2647
Fax (215) 456-2713
Toxanomy
Taxonomy Code 101YA0400X
License State
License Number
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According to our database, Brenda Arlene Stafford MHS NPI is 1053592493, taxonomy code is 101YA0400X Brenda Arlene Stafford MHS physically located at 1315 Windrim Ave, Philadelphia PA, 19141-2710. NPI Number Brenda Arlene Stafford MHS has the Individual type.

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1053592493 NPI number is provided on an as is basis without warranty of any kind. 1053592493 is maintained by the National Plan & Provider Enumeration System. The contents of Brenda Arlene Stafford MHS are for informational purposes only.