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1053592493
BRENDA ARLENE STAFFORD
PHILADELPHIA, PA
NPI
1053592493
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-11-14
Last Update Date
2007-11-14
Business Address
-- BRENDA ARLENE STAFFORD MHS
1315 WINDRIM AVE
PHILADELPHIA, PA 19141-2710
Phone number: 215-456-2647
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Mailing Address
-- BRENDA ARLENE STAFFORD MHS
1315 WINDRIM AVE
PHILADELPHIA, PA 19141-2710
Phone number: 215-456-2647
Copy
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