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1750095923
ELIZABETH MICCIULLA
PHILADELPHIA, PA
NPI
1750095923
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: PA 18077)
Enumeration Date
2023-01-11
Last Update Date
2023-01-11
Business Address
ELIZABETH MICCIULLA
9140 ACADEMY RD
PHILADELPHIA, PA 19114-2853
Phone number: 215-638-5200
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Mailing Address
ELIZABETH MICCIULLA
1608 SPUR RD
YARDLEY, PA 19067-2610
Phone number: 609-647-7956
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