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1922248541
AUDREY J. ENNIS
MEDIA, PA
NPI
1922248541
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: PA SW126841)
Enumeration Date
2009-02-21
Last Update Date
2009-02-21
Business Address
Mrs. AUDREY J. ENNIS MSW, LSW
6 E RIDGE RD
MEDIA, PA 19063-2541
Phone number: 610-565-2646
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Mailing Address
Mrs. AUDREY J. ENNIS MSW, LSW
6 E RIDGE RD
MEDIA, PA 19063-2541
Phone number: 610-565-2646
Copy
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