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1730169343
JERRY M LAZAROFF
MEDIA, PA
NPI
1730169343
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: PA PS-002867-L)
Enumeration Date
2006-01-19
Last Update Date
2007-07-08
Business Address
Dr. JERRY M LAZAROFF Ph.D.
1029 N PROVIDENCE RD
MEDIA, PA 19063-1404
Phone number: 610-566-6633
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Mailing Address
Dr. JERRY M LAZAROFF Ph.D.
1029 N PROVIDENCE RD
MEDIA, PA 19063-1404
Phone number: 610-566-6633
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