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1073986055
THERESA NIEDOSIK
PHILADELPHIA, PA
NPI
1073986055
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Former Name
THERESA COLLIGAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2015-11-12
Last Update Date
2015-11-12
Business Address
-- THERESA NIEDOSIK
3044 BRIGHTON ST
PHILADELPHIA, PA 19149-1924
Phone number: 609-432-9425
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Mailing Address
-- THERESA NIEDOSIK
3044 BRIGHTON ST
PHILADELPHIA, PA 19149-1924
Phone number: 609-432-9425
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