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1063847663
FADY PHILIP MICHAIL
EWING, NJ
NPI
1063847663
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NJ 37AC00124300)
Enumeration Date
2013-09-13
Last Update Date
2013-09-13
Business Address
-- FADY PHILIP MICHAIL MA, LAC
2109 PENNINGTON RD
EWING, NJ 08638-1400
Phone number: 610-644-6464
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Mailing Address
-- FADY PHILIP MICHAIL MA, LAC
1440 RUSSELL RD
PAOLI, PA 19301-1236
Phone number: 610-644-6464
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