Most Relevant Information
Provider Data
| NPI Number: | 1003582370 |
| Provider Name: | LYNNE HUBBARD |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | CW021538 |
Most Important Dates
| Enumeration Date: | 08/18/2021 |
| Last Updated: | 08/18/2021 |
Provider Practice Location
3300 HENRY AVE
PHILADELPHIA
PA
191291141
Practice Location Phone/Fax
| Phone: | 2158399000 |
| Fax: |
Provider Mailing Location
115 N DEWEY ST
PHILADELPHIA
PA
191392309
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |