Individual
KIRSTEN MARGARET LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW, MED
Contact information
Practice address
4928 PINE ST UNIT 1, PHILADELPHIA, PA 19143-1613
(717) 817-1201
Mailing address
4928 PINE ST UNIT 1, PHILADELPHIA, PA 19143-1613
(717) 817-1201
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW138815
PA
Other
Enumeration date
09/14/2023
Last updated
09/14/2023
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