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Individual

ISRA ABUYOUNIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSW

Contact information

Practice address
308 E BROAD ST, BETHLEHEM, PA 18018-6311
(610) 861-8779
Mailing address
308 E BROAD ST, BETHLEHEM, PA 18018-6311
(610) 861-8779
(610) 861-4677

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW136464
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
SW136464
PROFESSIONAL SOCIAL WORK LICENSE
PA
Enumeration date
01/23/2020
Last updated
01/23/2020
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