Individual
MARIE LOUISE AFFATATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
3900 WOODLAND AVE, PHILADELPHIA, PA 19104-4551
(215) 823-6383
Mailing address
3900 WOODLAND AVE, PHILADELPHIA, PA 19104-4551
(215) 823-6383
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW134533
PA
Other
Enumeration date
11/05/2018
Last updated
11/05/2018
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