Individual
STEPHANIE BERYL THUMMEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
122 W ERIE AVE, PHILADELPHIA, PA 19140-2725
(215) 510-3097
(215) 456-0184
Mailing address
3525 MERIDIAN ST, PHILADELPHIA, PA 19136-3530
(215) 510-3097
(215) 456-0184
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW122399
PA
Other
Enumeration date
04/12/2016
Last updated
04/12/2016
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