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Individual

MR. ANDY W LUGO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
3900 WOODLAND AVE, INPATIENT PSYCHIATRY, PHILADELPHIA, PA 19104-4551
(215) 823-5800
(215) 823-4558
Mailing address
515 W CHELTEN AVE, APT. 1110, PHILADELPHIA, PA 19144-4414
(954) 937-2638

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW8108
FL

Other

Enumeration date
10/24/2006
Last updated
07/08/2007
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