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1659134401
EMILY MICKELSON
PHILADELPHIA, PA
NPI
1659134401
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-02-05
Last Update Date
2024-02-05
Business Address
EMILY MICKELSON
110 CHURCH ST
PHILADELPHIA, PA 19106-2201
Phone number: 267-807-0550
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Mailing Address
EMILY MICKELSON
628 SOUTHWICK RD
SOMERDALE, NJ 08083-2314
Phone number: 856-673-9554
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