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Individual

MR. JONATHAN CARL QUANN SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4510 FRANKFORD AVE FL 2, PHILADELPHIA, PA 19124-3602
(215) 831-9882
(215) 831-9887
Mailing address
1401 S 31ST ST FL 2, PHILADELPHIA, PA 19146-3506
(215) 925-2400
(215) 925-9162

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
01/30/2018
Last updated
01/30/2018
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