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1902141047
DIANE MADDOX-JENKINS
KENNETT SQUARE, PA
NPI
1902141047
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: PA PC006655)
Enumeration Date
2012-11-30
Last Update Date
2013-06-18
Business Address
-- DIANE MADDOX-JENKINS LPC
423 MCFARLAN RD SUITE 200
KENNETT SQUARE, PA 19348-2487
Phone number: 302-377-6336
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Mailing Address
-- DIANE MADDOX-JENKINS LPC
423 MCFARLAN RD SUITE 200
KENNETT SQUARE, PA 19348-2487
Phone number: 302-377-6336
Copy
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