Individual
LASSANA DEMBELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
237 SANSOM ST APT A, UPPER DARBY, PA 19082-3111
(267) 678-9113
Mailing address
237 SANSOM ST APT A, UPPER DARBY, PA 19082-3111
(267) 678-9113
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BH002542
PA
Other
Enumeration date
11/23/2014
Last updated
11/23/2014
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