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1114213295
STEPHEN J LARGE
ERIE, PA
NPI
1114213295
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: PA PS016742)
Enumeration Date
2011-06-27
Last Update Date
2011-06-27
Business Address
Dr. STEPHEN J LARGE Psy.D.
542 W 6TH ST # 3
ERIE, PA 16507-1169
Phone number: 937-212-3845
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Mailing Address
Dr. STEPHEN J LARGE Psy.D.
542 W 6TH ST # 3
ERIE, PA 16507-1169
Phone number: 937-212-3845
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