Individual
MS. ERICA PAIGE DEDUFOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
808 N 19TH ST APT 202, PHILADELPHIA, PA 19130-2095
(609) 651-2442
Mailing address
808 N 19TH ST APT 202, PHILADELPHIA, PA 19130-2095
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW023328
PA
Other
Enumeration date
02/17/2023
Last updated
02/17/2023
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