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1265917660
RENE AGNE MEDINA
BETHLEHEM, PA
NPI
1265917660
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Former Name
RENE AGNE LOPEZ
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: PA CW019303)
Enumeration Date
2018-10-02
Last Update Date
2018-10-02
Business Address
RENE AGNE MEDINA LCSW
2604 SCHOENERSVILLE RD
BETHLEHEM, PA 18017-3518
Phone number: 610-691-8028
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Mailing Address
RENE AGNE MEDINA LCSW
2421 26TH ST SW
ALLENTOWN, PA 18103-7227
Phone number: 610-413-5734
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