Individual
DIONNE EASTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1703 N EDGEWOOD ST, PHILADELPHIA, PA 19151-3914
(267) 784-1469
Mailing address
1703 N EDGEWOOD ST, PHILADELPHIA, PA 19151-3914
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/30/2015
Last updated
06/30/2015
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