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1023658168
SUSAN SCHACK KELLY
PHILADELPHIA, PA
NPI
1023658168
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: PA PS016698)
Enumeration Date
2020-01-07
Last Update Date
2020-01-07
Business Address
SUSAN SCHACK KELLY PhD
8609 GERMANTOWN AVE # 2F
PHILADELPHIA, PA 19118-2863
Phone number: 646-265-2484
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Mailing Address
SUSAN SCHACK KELLY PhD
8609 GERMANTOWN AVE # 2F
PHILADELPHIA, PA 19118-2863
Phone number: 646-265-2484
Copy
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