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1184900441
JACQUELINE RUSSO STRAIT
PHILADELPHIA, PA
NPI
1184900441
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: PA CW016367)
Enumeration Date
2011-10-31
Last Update Date
2012-12-11
Business Address
Mrs. JACQUELINE RUSSO STRAIT LCSW
255 S 17TH ST SUITE 1307
PHILADELPHIA, PA 19103-6231
Phone number: 267-908-5292
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Mailing Address
Mrs. JACQUELINE RUSSO STRAIT LCSW
255 S 17TH ST SUITE 1307
PHILADELPHIA, PA 19103-6231
Phone number: 267-908-5292
Copy
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