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1740669910
ILISSA JAE DUCOAT
QUAKERTOWN, PA
NPI
1740669910
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: PA PC008126)
Enumeration Date
2015-05-21
Last Update Date
2022-08-23
Business Address
Ms. ILISSA JAE DUCOAT LPC, FT
1534 W BROAD ST STE 500
QUAKERTOWN, PA 18951-1018
Phone number: 267-227-0741
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Mailing Address
Ms. ILISSA JAE DUCOAT LPC, FT
1534 W BROAD ST STE 500
QUAKERTOWN, PA 18951-1018
Phone number: 267-227-0741
Copy
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