Individual
MRS. AUDREY LUNDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5403 TACKAWANNA ST, PHILADELPHIA, PA 19124-1410
(862) 596-2712
Mailing address
5403 TACKAWANNA ST, PHILADELPHIA, PA 19124-1410
(862) 596-2712
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW140103
PA
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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