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Individual

AUDRA M MATZURA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1895 ROUTE 212, QUAKERTOWN, PA 18951-3314
(610) 844-3458
(610) 346-6226
Mailing address
1895 ROUTE 212, QUAKERTOWN, PA 18951-3314
(610) 844-3458

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC11198
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1164905626
CHILD'S WORK COUNSELING SERVICES INC.
PA
Enumeration date
05/28/2019
Last updated
04/23/2021
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