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Individual

DOUGLAS MARK EDDY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSW,LSW

Contact information

Practice address
600 N JACKSON ST, MEDIA, PA 19063-2561
(610) 557-1991
Mailing address
438 IROQUOIS ST, ESSINGTON, PA 19029-1806
(610) 547-2651

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW137944
PA

Other

Enumeration date
11/01/2021
Last updated
11/01/2021
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