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1265070379
JEANNINE CICCO BARKER
PHILADELPHIA, PA
NPI
1265070379
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: PA PS018131)
Enumeration Date
2019-12-19
Last Update Date
2022-10-17
Business Address
Dr. JEANNINE CICCO BARKER PsyD
255 S 17TH ST STE 2121
PHILADELPHIA, PA 19103-6211
Phone number: 215-839-9179
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Mailing Address
Dr. JEANNINE CICCO BARKER PsyD
PO BOX 2401
PHILADELPHIA, PA 19147-0401
Phone number: 215-839-9179
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