Individual
JULIANNE LARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
3550 MARKET ST, PHILADELPHIA, PA 19104-3329
(215) 590-2181
(215) 590-7121
Mailing address
3550 MARKET ST FL 5, PHILADELPHIA, PA 19104-3364
(215) 590-2181
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1034478380001
—
PA
Enumeration date
11/14/2019
Last updated
11/14/2019
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