Individual
EARL K DRISCOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1315 SPRUCE ST, PHILADELPHIA, PA 19107-5601
(215) 253-1400
Mailing address
309 SHAWMONT AVE, SUITE C, PHILADELPHIA, PA 19128-4241
(215) 253-1400
(215) 558-9160
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW016967
PA
Other
Enumeration date
12/28/2011
Last updated
06/29/2016
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