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Individual

BRYN DIEHL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LSW

Contact information

Practice address
1700 SANSOM ST FL 11, PHILADELPHIA, PA 19103-5245
(215) 563-7863
Mailing address
1524 N 27TH ST, PHILADELPHIA, PA 19121-3706

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW137668
PA

Other

Enumeration date
04/11/2022
Last updated
04/11/2022
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