Individual
EILEEN PITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2127 HOMER ST, PHILADELPHIA, PA 19138-1935
(267) 972-5992
Mailing address
3900 WOODLAND AVE, PHILADELPHIA, PA 19104-4594
(215) 823-5800
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW020918
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
QCH120224179001
KEYSTONE HEALTHCARE EAST
PA
Enumeration date
06/10/2020
Last updated
11/13/2024
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