Individual
MRS. JODI LYNN DESIMONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
85 OLD EAGLE SCHOOL RD, SUITE 200-SECOND FLOOR, STRAFFORD, PA 19087-2556
(610) 688-1636
Mailing address
85 OLD EAGLE SCHOOL RD, SUITE 200-SECOND FLOOR, STRAFFORD, PA 19087-2556
(610) 688-1636
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
26142913
PA
Other
Enumeration date
04/15/2011
Last updated
04/15/2011
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