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1346612967
LANE DIFLAVIS
PHILADELPHIA, PA
NPI
1346612967
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2015-10-22
Last Update Date
2018-02-14
Business Address
LANE DIFLAVIS LCSW
1207 CHESTNUT ST 3RD FLOOR
PHILADELPHIA, PA 19107-4131
Phone number: 215-344-1155
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Mailing Address
LANE DIFLAVIS LCSW
1233 LOCUST ST FL 3
PHILADELPHIA, PA 19107-5400
Phone number: 215-985-4448
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