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1619431301
LORI LEE WIDENER
PHILADELPHIA, PA
NPI
1619431301
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: PA CW019299)
Enumeration Date
2019-01-26
Last Update Date
2019-01-26
Business Address
Ms. LORI LEE WIDENER LCSW
329 LYCEUM AVE
PHILADELPHIA, PA 19128-4815
Phone number: 503-944-9353
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Mailing Address
Ms. LORI LEE WIDENER LCSW
329 LYCEUM AVE
PHILADELPHIA, PA 19128-4815
Phone number: 503-944-9353
Copy
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