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1710335542
JACK KOMEJAN
PHILADELPHIA, PA
NPI
1710335542
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: CA LCS012339)
Enumeration Date
2016-06-02
Last Update Date
2016-06-02
Business Address
JACK KOMEJAN L.C.S.W.
34TH AND CIVIC CENTER BOULEVARD
PHILADELPHIA, PA 19104-4399
Phone number: 215-590-1136
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Mailing Address
JACK KOMEJAN L.C.S.W.
402 W DURHAM ST
PHILADELPHIA, PA 19119-2910
Phone number: 650-218-8293
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