Individual
MR. ERIC NILS LUNDBLOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
5690 SHAFFER RD, DU BOIS, PA 15801-3870
(814) 375-6817
(814) 375-0922
Mailing address
5690 SHAFFER RD, DU BOIS, PA 15801-3870
(814) 375-6817
(814) 375-0922
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M5118
OR
Other
Enumeration date
04/18/2013
Last updated
04/18/2013
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