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1275116261
TERRELL A WATERS
PHILADELPHIA, PA
NPI
1275116261
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-04-28
Last Update Date
2021-04-28
Business Address
TERRELL A WATERS
525 S 4TH ST STE 471
PHILADELPHIA, PA 19147-1582
Phone number: 267-861-3685
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Mailing Address
TERRELL A WATERS
525 S 4TH ST STE 471
PHILADELPHIA, PA 19147-1582
Phone number:
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