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1205582467
DESEREE MATISE PURDY
KING OF PRUSSIA, PA
NPI
1205582467
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-02-26
Last Update Date
2022-02-26
Business Address
Miss DESEREE MATISE PURDY MS
2305 BRANDENBURG WAY
KING OF PRUSSIA, PA 19406-3244
Phone number: 610-991-6543
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Mailing Address
Miss DESEREE MATISE PURDY MS
2305 BRANDENBURG WAY
KING OF PRUSSIA, PA 19406-3244
Phone number: 610-991-6543
Copy
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