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1205990231
JODI L IPPOLITO
PHILADELPHIA, PA
NPI
1205990231
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: PA CW015185)
Enumeration Date
2006-12-21
Last Update Date
2007-07-08
Business Address
Mr. JODI L IPPOLITO L.C.S.W.
313 S 16TH ST
PHILADELPHIA, PA 19102-4908
Phone number: 215-732-8244
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Mailing Address
Mr. JODI L IPPOLITO L.C.S.W.
305 E UPSAL ST
PHILADELPHIA, PA 19119-2348
Phone number: 267-974-4259
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