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1265981963
JANE BACK
BRYN MAWR, PA
NPI
1265981963
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: PA CW019049)
Enumeration Date
2016-09-23
Last Update Date
2016-09-23
Business Address
-- JANE BACK LMCSW
850 W LANCASTER AVE 2ND FLOORD
BRYN MAWR, PA 19010-3220
Phone number: 610-520-1510
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Mailing Address
-- JANE BACK LMCSW
106 KINGFIELD RD
PHILADELPHIA, PA 19115-4011
Phone number: 347-377-1855
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