Individual
MARK MORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
5136 DELANCEY ST, PHILADELPHIA, PA 19143-1504
(202) 320-1316
Mailing address
5136 DELANCEY ST, PHILADELPHIA, PA 19143-1504
(202) 320-1316
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW141711
PA
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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