Individual
JOSEPH LAVERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2641 N 6TH ST, PHILADELPHIA, PA 19133-2637
(215) 291-6104
Mailing address
1216 ARCH ST, 6TH FLOOR, PHILADELPHIA, PA 19107-2835
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/07/2013
Last updated
08/07/2013
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