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1013536556
DJUAN DESHONGE SHORT
PHILADELPHIA, PA
NPI
1013536556
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: PA CW020719)
Enumeration Date
2020-04-14
Last Update Date
2020-04-14
Business Address
DJUAN DESHONGE SHORT LCSW
2 LOGAN SQ STE 300
PHILADELPHIA, PA 19103-2733
Phone number: 267-225-2630
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Mailing Address
DJUAN DESHONGE SHORT LCSW
5662 BELMAR TER APT 2
PHILADELPHIA, PA 19143-4713
Phone number: 240-602-9929
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