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Individual

AVERY HARRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2990 HOLME AVE, IMMACULATE MARY HOME, PHILADELPHIA, PA 19136
(215) 992-1860
Mailing address
324 N. PRINCETON AVE, SWARTHMORE, PA 19081

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL011898
PA

Other

Enumeration date
05/09/2014
Last updated
05/09/2014
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