Individual
ELISE MARIE WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
2135 E LETTERLY ST, PHILADELPHIA, PA 19125-1612
(484) 401-1792
Mailing address
2135 E LETTERLY ST, PHILADELPHIA, PA 19125-1612
(484) 401-1792
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW138450
PA
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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