Individual
BRIAN HAINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1315 WALNUT ST, SUITE1619, PHILADELPHIA, PA 19107-4719
(267) 320-7015
Mailing address
5820 OVERBROOK AVE, PHILADELPHIA, PA 19131-1221
(267) 320-7015
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW-006998-L
PA
Other
Enumeration date
08/07/2015
Last updated
08/07/2015
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