Provider Information for 1740626092
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Ms. EILEEN FUNG LPC
Sex: Female
NPI: 1740626092
Last Updated: 2023-11-04
Certification Date: 2023-11-04
Certification Date: 2023-11-04
Details
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NPI | 1740626092 | ||||||||
Enumeration Date | 2013-05-14 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | YES | ||||||||
Status | Active | ||||||||
Mailing Address | 332 TALL MEADOW LN YARDLEY, PA 19067-6402 United States Phone: 617-470-3719 | Fax: | ||||||||
Primary Practice Address | 108 STRAUBE CENTER BLVD STE I8B PENNINGTON, NJ 08534-1421 United States Phone: 617-470-3719 | Fax: | ||||||||
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