MANUEL CUSTODIO

PHILADELPHIA, PA
NPI1477838720
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2011-10-19
Last Update Date2011-10-19
Business Address
-- MANUEL CUSTODIO MA
2927 N 5TH ST
PHILADELPHIA, PA 19133-2800
Phone number: 484-221-9136
Mailing Address
-- MANUEL CUSTODIO MA
2030 W TILGHMAN ST SUITE 105B
ALLENTOWN, PA 18104-4354
Phone number: 484-221-9136