BRENDA ARLENE STAFFORD

PHILADELPHIA, PA
NPI1053592493
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-11-14
Last Update Date2007-11-14
Business Address
-- BRENDA ARLENE STAFFORD MHS
1315 WINDRIM AVE
PHILADELPHIA, PA 19141-2710
Phone number: 215-456-2647
Mailing Address
-- BRENDA ARLENE STAFFORD MHS
1315 WINDRIM AVE
PHILADELPHIA, PA 19141-2710
Phone number: 215-456-2647