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1215455431
AYANA SHORT
PHILADELPHIA, PA
NPI
1215455431
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-09-08
Last Update Date
2022-07-21
Business Address
AYANA SHORT LSW
3900 CITY AVE APT. J523
PHILADELPHIA, PA 19131
Phone number: 315-403-5540
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Mailing Address
AYANA SHORT LSW
3900 CITY AVE APT J523
PHILADELPHIA, PA 19131-3043
Phone number: 315-403-5540
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