Individual
CHERISE SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1500 CHESTNUT ST # 1110, PHILADELPHIA, PA 19102-2737
(818) 254-8531
Mailing address
1500 CHESTNUT ST # 1110, PHILADELPHIA, PA 19102-2737
(818) 254-8531
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
SW135213
PA
1041C0700X
Clinical Social Worker
Primary
CW021513
PA
Other
Enumeration date
04/15/2020
Last updated
12/09/2020
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