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1255981098
BLAKEN WAMSLEY
PHILADELPHIA, PA
NPI
1255981098
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NA)
Enumeration Date
2019-09-13
Last Update Date
2019-09-13
Business Address
BLAKEN WAMSLEY
8220 CASTOR AVE
PHILADELPHIA, PA 19152-2729
Phone number: 267-366-8807
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Mailing Address
BLAKEN WAMSLEY
8220 CASTOR AVE
PHILADELPHIA, PA 19152-2729
Phone number: 267-366-8807
Copy
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