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1013421718
JAMES LAWRENCE THIBAULT
PHILADELPHIA, PA
NPI
1013421718
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: PA PC009659)
Enumeration Date
2017-11-17
Last Update Date
2017-11-17
Business Address
JAMES LAWRENCE THIBAULT LPC
2049 NORTH ST
PHILADELPHIA, PA 19130-3217
Phone number: 267-918-6916
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Mailing Address
JAMES LAWRENCE THIBAULT LPC
2049 NORTH ST
PHILADELPHIA, PA 19130-3217
Phone number: 267-918-6916
Copy
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