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1972739902
JODI GERSON MISCANNON
PHILADELPHIA, PA
NPI
1972739902
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
252Y00000X Early Intervention Provider Agency
(Licence: PA SW010517L)
Enumeration Date
2009-06-04
Last Update Date
2009-06-04
Business Address
-- JODI GERSON MISCANNON LSW
102 E MERMAID LN
PHILADELPHIA, PA 19118-3507
Phone number: 215-248-7605
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Mailing Address
-- JODI GERSON MISCANNON LSW
102 E MERMAID LN
PHILADELPHIA, PA 19118-3507
Phone number: 215-248-7605
Copy
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