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DIAMONDS ALEXUS LAQUAY COPES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
1167 W BALTIMORE PIKE # 258, MEDIA, PA 19063-5121
(484) 577-9928
Mailing address
3708 FRANKFORD AVE, PHILADELPHIA, PA 19124-5626

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
01/14/2021
Last updated
02/01/2024
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