Provider Information for 1578857298
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Mr. FRANCIS HAGGERTY LCSW, MBA
Sex: Male
NPI: 1578857298
Last Updated: 2011-05-31
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1578857298 | ||||||||
| Enumeration Date | 2011-05-31 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 3209 THORNBROOK PL PHILADELPHIA, PA 19114-1518 United States Phone: 215-694-5854 | Fax: | ||||||||
| Primary Practice Address | 3209 THORNBROOK PL PHILADELPHIA, PA 19114-1518 United States Phone: 215-694-5854 | Fax: | ||||||||
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