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1306060074
ANGELA ROSE GILLEM
PHILADELPHIA, PA
NPI
1306060074
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: PA PS004924L)
Enumeration Date
2007-04-12
Last Update Date
2013-11-25
Business Address
Dr. ANGELA ROSE GILLEM Ph.D.
8609 GERMANTOWN AVE SUITE 2-F
PHILADELPHIA, PA 19118-2863
Phone number: 267-258-0609
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Mailing Address
Dr. ANGELA ROSE GILLEM Ph.D.
7134 CRESHEIM RD
PHILADELPHIA, PA 19119-2429
Phone number: 267-258-0609
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