Individual
MS. KATY EUSTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW, LSW
Contact information
Practice address
1120 W TOWNSHIP LINE RD STE 101, HAVERTOWN, PA 19083-4930
(610) 708-0721
Mailing address
1513 N 29TH ST, PHILADELPHIA, PA 19121-3620
(202) 352-1099
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
108302-01
NY
104100000X
Social Worker
Primary
SW140559
PA
Other
Enumeration date
12/06/2024
Last updated
12/06/2024
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