Individual
CHARLES ORR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3900 WOODLAND AVE, PHILADELPHIA, PA 19104-4551
(518) 506-1202
Mailing address
1242 S 20TH ST, PHILADELPHIA, PA 19146-4338
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW132097
PA
Other
Enumeration date
12/13/2014
Last updated
12/13/2014
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