Most Relevant Information
Provider Data
| NPI Number: | 1003471301 |
| Provider Name: | LUCY GLEYSTEEN |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/02/2019 |
| Last Updated: | 08/25/2021 |
Provider Practice Location
1348 BAINBRIDGE ST
PHILADELPHIA
PA
191471810
Practice Location Phone/Fax
| Phone: | 2155630652 |
| Fax: |
Provider Mailing Location
2121 SIGEL ST
PHILADELPHIA
PA
191451924
Provider Mailing Phone/Fax
| Phone: | 7814394539 |
| Fax: |