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1558564724
JEANINE MARIE VIVONA
BALA CYNWYD, PA
NPI
1558564724
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: PA PS-008618-L)
Enumeration Date
2007-06-06
Last Update Date
2007-07-08
Business Address
Dr. JEANINE MARIE VIVONA PhD
11 BALA AVE
BALA CYNWYD, PA 19004-3201
Phone number: 215-570-4947
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Mailing Address
Dr. JEANINE MARIE VIVONA PhD
215 PELHAM RD
PHILADELPHIA, PA 19119-2624
Phone number: 215-843-7368
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