Lauren Dattilo
Counselor, Professional in Philadelphia, PA. Individual provider (NPI-1).
NPI number1346853355
StatusActive
Last updated in NPPESAug 28, 2020
Details
- NPI
- 1346853355
- Entity type
- Individual (NPI-1)
- Name
- Lauren Dattilo
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 28, 2020
- Certification date
- Aug 28, 2020
- Last updated
- Aug 28, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | – | Yes |
Practice location
10175 Bustleton AvePhiladelphia, PA 19116-3718
Phone 267-753-0648
Mailing address
10175 Bustleton AvePhiladelphia, PA 19116-3718
Phone 267-753-0648
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