Provider Information for 1144254665
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Mrs. PHYLLIS MAE HARTMAN LCSW
Sex: Female
NPI: 1144254665
Last Updated: 2007-07-08
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1144254665 | ||||||||
| Enumeration Date | 2006-07-10 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 295 HILL RD HONEY BROOK, PA 19344-9018 United States Phone: 610-273-9193 | Fax: | ||||||||
| Primary Practice Address | 1400 BLACK HORSE HILL RD COATESVILLE VA MEDICAL CENTER COATESVILLE, PA 19320-2040 United States Phone: 610-384-7711 | Fax:610-380-4376 | ||||||||
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