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Individual

ALETHEA FOURLAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LSW

Contact information

Practice address
193 DICKENS DR, LANCASTER, PA 17603-8858
(717) 713-8157
Mailing address
193 DICKENS DR, LANCASTER, PA 17603-8858
(717) 713-8157

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW130441
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100775933
PA
Enumeration date
03/18/2016
Last updated
03/18/2016
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