Individual
MRS. CHRISTINE DIANE CARDENAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
31 VIOLET LN, WEST GROVE, PA 19390-9531
(610) 345-9009
Mailing address
31 VIOLET LN, WEST GROVE, PA 19390-9531
(610) 345-9009
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW013708
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
911031
—
PA
Enumeration date
09/02/2006
Last updated
07/08/2007
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