LANE DIFLAVIS

PHILADELPHIA, PA
NPI1346612967
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
Enumeration Date2015-10-22
Last Update Date2018-02-14
Business Address
LANE DIFLAVIS LCSW
1207 CHESTNUT ST 3RD FLOOR
PHILADELPHIA, PA 19107-4131
Phone number: 215-344-1155
Mailing Address
LANE DIFLAVIS LCSW
1233 LOCUST ST FL 3
PHILADELPHIA, PA 19107-5400
Phone number: 215-985-4448