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1508574591
TERRI THAO LE SHIMIZU
PHILADELPHIA, PA
NPI
1508574591
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: PA CW020084)
Enumeration Date
2022-11-09
Last Update Date
2022-11-09
Business Address
TERRI THAO LE SHIMIZU
3900 WOODLAND AVE
PHILADELPHIA, PA 19104-4551
Phone number: 215-983-2206
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Mailing Address
TERRI THAO LE SHIMIZU
440 W WOODLAND AVE
PENNDEL, PA 19047-5130
Phone number: 267-577-6281
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