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1255752937
CLARISSA GOLDBERG
PHILADELPHIA, PA
NPI
1255752937
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-12-23
Last Update Date
2013-12-23
Business Address
-- CLARISSA GOLDBERG
112 N BROAD ST
PHILADELPHIA, PA 19102-1512
Phone number: 215-568-0860
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Mailing Address
-- CLARISSA GOLDBERG
112 N BROAD ST
PHILADELPHIA, PA 19102-1512
Phone number: 215-568-0860
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