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1174241020
JESSICA LEE SUPPERER
LANGHORNE, PA
NPI
1174241020
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: PA PC014795)
Enumeration Date
2022-08-17
Last Update Date
2022-08-17
Business Address
JESSICA LEE SUPPERER LPC
2291 CABOT BLVD W
LANGHORNE, PA 19047-1806
Phone number: 215-642-3230
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Mailing Address
JESSICA LEE SUPPERER LPC
3635 STANTON ST
PHILADELPHIA, PA 19129-1618
Phone number: 215-260-3465
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