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Individual

DOLORES BARBARA LUNDGREN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1 OXFORD VLY, SUITE 814, LANGHORNE, PA 19047-1830
(215) 264-0070
(215) 949-7677
Mailing address
343 ANDREW RD, HUNTINGDON VALLEY, PA 19006-2358
(215) 264-0070
(215) 947-7677

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC004218
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2785690000
PERSONAL CHOICE
PA
01
600017359
MAGELLAN
PA
Enumeration date
01/11/2007
Last updated
09/08/2009
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