Individual
MS. ELIZABETH MARTI LOMAX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1235 PINE ST, PHILADELPHIA, PA 19107-5945
(215) 735-9379
Mailing address
1235 PINE ST, PHILADELPHIA, PA 19107-5945
(215) 735-9379
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23189332
DRIVER LICENSE
PA
Enumeration date
01/26/2023
Last updated
02/02/2023
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