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1598715179
PATRICIA S CORREA-ILLIDGE
PHILADELPHIA, PA
NPI
1598715179
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: PA SW008617L)
Enumeration Date
2006-05-12
Last Update Date
2015-11-01
Business Address
-- PATRICIA S CORREA-ILLIDGE LSW
4510 FRANKFORD AVE 2ND FLOOR
PHILADELPHIA, PA 19124-3602
Phone number: 215-831-9882
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Mailing Address
-- PATRICIA S CORREA-ILLIDGE LSW
432 N 6TH ST
PHILADELPHIA, PA 19123-4004
Phone number: 215-925-2400
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