Individual
ERICA J OLIPHANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
515 BROAD ST, PERRYVILLE, MD 21903-2678
(410) 642-2411
Mailing address
232 ROOSEVELT AVE, DOWNINGTOWN, PA 19335-2992
(610) 873-1098
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW016248
PA
Other
Enumeration date
10/02/2012
Last updated
10/02/2012
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