Individual
KRISTINA E DUNDORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
790 NEW HOLLAND AVE, LANCASTER, PA 17602-2137
(717) 390-0353
(717) 390-1812
Mailing address
320 HIGHLAND DRIVE, PO BOX 597, MOUNTVILLE, PA 17554-0597
(570) 323-6944
(570) 323-4529
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
SW132765
PA
1041C0700X
Clinical Social Worker
Primary
CW020567
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103495942-0001
—
PA
Enumeration date
09/22/2016
Last updated
06/14/2019
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