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1295852846
TACIE LEE VERGARA
PHILADELPHIA, PA
NPI
1295852846
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: PA PS015770)
Enumeration Date
2007-03-26
Last Update Date
2007-07-08
Business Address
Dr. TACIE LEE VERGARA Psy.D.
8431 GERMANTOWN AVE 2ND FLOOR
PHILADELPHIA, PA 19118-3301
Phone number: 215-247-9555
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Mailing Address
Dr. TACIE LEE VERGARA Psy.D.
280 W HAINES ST
PHILADELPHIA, PA 19144-3319
Phone number: 221-584-2295
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