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1215578570
JOHN STANLEY RAJ CHINNAIYAN MATHIAS
UPPER DARBY, PA
NPI
1215578570
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: PA BH001686)
Enumeration Date
2019-10-07
Last Update Date
2019-10-07
Business Address
JOHN STANLEY RAJ CHINNAIYAN MATHIAS
6930 MARKET ST
UPPER DARBY, PA 19082-2308
Phone number: 484-469-4319
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Mailing Address
JOHN STANLEY RAJ CHINNAIYAN MATHIAS
160 BETHLEHEM PIKE
COLMAR, PA 18915-9790
Phone number: 215-997-2000
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