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1407304140
PHILLIP JACKSON BARRETT
PHILADELPHIA, PA
NPI
1407304140
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: PA CW019212)
Enumeration Date
2016-09-12
Last Update Date
2017-03-06
Business Address
-- PHILLIP JACKSON BARRETT
4510 FRANKFORD AVE
PHILADELPHIA, PA 19124-3602
Phone number: 215-744-1302
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Mailing Address
-- PHILLIP JACKSON BARRETT
1401 S 31ST ST 2ND FLOOR
PHILADELPHIA, PA 19146-3506
Phone number: 215-925-2400
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