Organization
INFORMED DECISIONS FOR SENIORS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES CHRISTIAN WHITLOCK JR. LCSW (OWNER)
(267) 334-3735
Entity
Organization
Contact information
Practice address
2640 MAXWELL STREET, PHILADELPHIA, PA 19152-1551
(267) 334-3735
Mailing address
2640 MAXWELL STREET, PHILADELPHIA, PA 19152-1551
(267) 334-3735
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW016312
PA
Other
Enumeration date
01/14/2010
Last updated
01/14/2010
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