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Individual

MS. JEANETTE ANNE PAILAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A./A.T.R.-L.P.C.

Contact information

Practice address
4641 ROOSEVELT BLVD, PHILA, PA 19124-2343
(215) 831-2634
Mailing address
6706 LINCOLN DR, PHILA, PA 19119-3155
(215) 300-6170

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC004973
PA

Other

Enumeration date
10/15/2009
Last updated
10/15/2009
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