Individual
AMISHAI GOTTLIEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
213-217 N 4TH ST, 2ND FLOOR, PHILADELPHIA, PA 19106
(215) 863-1492
Mailing address
112 CENTRAL AVE, AUDUBON, NJ 08106-2002
(215) 450-2766
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
137794
PA
Other
Enumeration date
02/08/2024
Last updated
02/08/2024
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