Individual
LYNNE SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8220 CASTOR AVE, PHILADELPHIA, PA 19152-2729
(215) 728-4556
(215) 745-6511
Mailing address
8220 CASTOR AVE, PHILADELPHIA, PA 19152-2729
(215) 728-4556
(215) 745-6511
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/03/2013
Last updated
07/03/2013
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