IRMA MODESTO

PHILADELPHIA, PA
NPI1992985485
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2007-11-13
Last Update Date2007-11-13
Business Address
-- IRMA MODESTO MA
2152 N FRONT ST
PHILADELPHIA, PA 19122-1705
Phone number: 484-221-9136
Mailing Address
-- IRMA MODESTO MA
2030 W TILGHMAN ST SUITE 105B
ALLENTOWN, PA 18104-4354
Phone number: 484-221-9136
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