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1942767892
DALE DAYWALT
PHILADELPHIA, PA
NPI
1942767892
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-02-27
Last Update Date
2019-02-27
Business Address
DALE DAYWALT
9815 ROOSEVELT BLVD STE B
PHILADELPHIA, PA 19114-1035
Phone number: 610-644-6464
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Mailing Address
DALE DAYWALT
680 AMERICAN AVE
KING OF PRUSSIA, PA 19406-4023
Phone number: 610-644-6464
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