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1578813366
STACEY CARPENTER
PHILADELPHIA, PA
NPI
1578813366
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC2200X Psychologist, Clinical Child & Adolescent
(Licence: PA PS017189)
Enumeration Date
2012-09-19
Last Update Date
2012-09-19
Business Address
-- STACEY CARPENTER Psy.D.
850 N 11TH ST
PHILADELPHIA, PA 19123-1957
Phone number: 215-769-1103
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Mailing Address
-- STACEY CARPENTER Psy.D.
4700 WISSAHICKON AVE STE 118 BLGD D
PHILADELPHIA, PA 19144-4248
Phone number: 215-843-2580
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