ELIZABETH MICCIULLA

PHILADELPHIA, PA
NPI1750095923
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: PA  18077)
Enumeration Date2023-01-11
Last Update Date2023-01-11
Business Address
ELIZABETH MICCIULLA
9140 ACADEMY RD
PHILADELPHIA, PA 19114-2853
Phone number: 215-638-5200
Mailing Address
ELIZABETH MICCIULLA
1608 SPUR RD
YARDLEY, PA 19067-2610
Phone number: 609-647-7956