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1750956892
LANCE FAEGENBURG
PHILADELPHIA, PA
NPI
1750956892
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TN 8782)
Enumeration Date
2021-05-21
Last Update Date
2024-11-18
Business Address
LANCE FAEGENBURG LCWS
3900 WOODLAND AVE
PHILADELPHIA, PA 19104-4551
Phone number: 215-823-5800
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Mailing Address
LANCE FAEGENBURG LCWS
3900 WOODLAND AVE
PHILADELPHIA, PA 19104-4551
Phone number: 215-823-5800
Copy
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