Individual
MR. EVAN J MEDUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
3901 MARKET ST STE 1934, PHILADELPHIA, PA 19104-3192
(215) 243-2830
(215) 307-4013
Mailing address
1216 ARCH ST FL 6, PHILADELPHIA, PA 19107-2835
(215) 981-0088
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/25/2021
Last updated
10/25/2021
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