Individual
BRANDY SHUFUTINSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
550 N BROAD ST, PHILADELPHIA, PA 19130-4016
(267) 415-6476
Mailing address
PO BOX 30192, ELKINS PARK, PA 19027-0592
(267) 415-6476
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW132914
PA
Other
Enumeration date
11/23/2015
Last updated
11/30/2016
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