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1730115536
MARYANN WALL
PHILADELPHIA, PA
NPI
1730115536
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: PA CW013986)
Enumeration Date
2006-06-23
Last Update Date
2011-02-04
Business Address
Mrs. MARYANN WALL
7340 JACKSON ST
PHILADELPHIA, PA 19136-4008
Phone number: 215-624-5691
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Mailing Address
Mrs. MARYANN WALL
58 NATHAN CT
NEWTOWN, PA 18940-3430
Phone number: 215-624-5691
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