LESTER DACE DELOATCH

PHILADELPHIA, PA
NPI1548440969
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-11-14
Last Update Date2007-11-14
Business Address
-- LESTER DACE DELOATCH MHS
1315 WINDRIM AVE
PHILADELPHIA, PA 19141-2710
Phone number: 215-456-2707
Mailing Address
-- LESTER DACE DELOATCH MHS
1315 WINDRIM AVE
PHILADELPHIA, PA 19141-2710
Phone number: 215-456-2707
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