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1457755696
JACK COTTOM
PHILADELPHIA, PA
NPI
1457755696
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: PA PC009399)
Enumeration Date
2014-10-17
Last Update Date
2017-01-19
Business Address
-- JACK COTTOM LPC
2000 SPRING GARDEN ST 1F
PHILADELPHIA, PA 19130-3994
Phone number: 404-918-6042
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Mailing Address
-- JACK COTTOM LPC
2000 SPRING GARDEN ST 1F
PHILADELPHIA, PA 19130-3994
Phone number: 404-918-6042
Copy
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