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1245094333
AUTUMN SELF
WILMINGTON, DE
NPI
1245094333
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
170300000X Genetic Counselor, MS
(Licence: DE CG-0010538)
Enumeration Date
2024-02-08
Last Update Date
2024-02-08
Business Address
AUTUMN SELF MS, LCGC
1600 ROCKLAND RD
WILMINGTON, DE 19803-3607
Phone number: 302-553-7362
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Mailing Address
AUTUMN SELF MS, LCGC
921 LOMBARD ST APT B
PHILADELPHIA, PA 19147-1259
Phone number: 704-500-9177
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