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1013240977
IBRAHIM ADAM MOHAMED
PHILADELPHIA, PA
NPI
1013240977
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2009-09-10
Last Update Date
2009-09-10
Business Address
Mr. IBRAHIM ADAM MOHAMED MFT
159 WIDENER ST
PHILADELPHIA, PA 19120-1950
Phone number: 215-305-2705
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Mailing Address
Mr. IBRAHIM ADAM MOHAMED MFT
159 WIDENER ST
PHILADELPHIA, PA 19120-1950
Phone number: 215-305-2705
Copy
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