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1154987840
NICOLE VANDERJAGT
CHESTER, PA
NPI
1154987840
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-05-17
Last Update Date
2019-05-17
Business Address
NICOLE VANDERJAGT MA
301 W 15TH ST
CHESTER, PA 19013-5300
Phone number: 610-619-8600
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Mailing Address
NICOLE VANDERJAGT MA
301 W 15TH ST
CHESTER, PA 19013-5300
Phone number: 610-619-8600
Copy
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