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Individual

HEIDI K FAUST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1518 WALNUT ST., STE. 804, PHILADELPHIA, PA 19102
(215) 399-9764
Mailing address
1000 JEFFERSON ST., STE. 2C, LYNCHBURG, VA 24504
(617) 375-0496
(617) 807-0958

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
1041C0700X
Clinical Social Worker
Primary
CW017231
PA

Other

Enumeration date
09/17/2009
Last updated
03/18/2015
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