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1003896614
SHONDA NIXON
PHILADELPHIA, PA
NPI
1003896614
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: PA PS015472)
Enumeration Date
2006-01-19
Last Update Date
2008-04-02
Business Address
-- SHONDA NIXON PH.D.
850 N 11TH ST
PHILADELPHIA, PA 19123-1957
Phone number: 215-769-1590
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Mailing Address
-- SHONDA NIXON PH.D.
4700 WISSAHICKON AVE SUITE 118 BOX 110
PHILADELPHIA, PA 19144-4248
Phone number: 215-298-0417
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