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1902430820
AISHA R SHABAZZ
PHILADELPHIA, PA
NPI
1902430820
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: PA CW021123)
Enumeration Date
2020-02-29
Last Update Date
2020-04-06
Business Address
AISHA R SHABAZZ LCSW
1536 CATHARINE ST
PHILADELPHIA, PA 19146-2270
Phone number: 302-229-9709
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Mailing Address
AISHA R SHABAZZ LCSW
1536 CATHARINE ST
PHILADELPHIA, PA 19146-2270
Phone number: 267-428-7839
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