Individual
LUISA IRENE ENRIQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
220 E MERMAID LN, PHILADELPHIA, PA 19118-3244
(917) 564-1023
Mailing address
220 E MERMAID LN # T113, PHILADELPHIA, PA 19118-3244
(917) 564-1023
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL07171300
NJ
104100000X
Social Worker
SW142312
PA
Other
Enumeration date
08/13/2024
Last updated
12/19/2024
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