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1053617183
DOMINGA PENA
PHILADELPHIA, PA
NPI
1053617183
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-02-08
Last Update Date
2012-01-20
Business Address
-- DOMINGA PENA BS
2927 N 5TH ST
PHILADELPHIA, PA 19133-2800
Phone number: 484-221-9136
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Mailing Address
-- DOMINGA PENA BS
2030 W TILGHMAN ST SUITE 105B
ALLENTOWN, PA 18104-4354
Phone number: 484-221-9136
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