Individual
CHRISTIE EASTBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1229 S 6TH ST, PHILADELPHIA, PA 19147-4837
(267) 419-7574
Mailing address
1229 HARRISON ST, PHILADELPHIA, PA 19124-2909
(302) 229-2082
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW131922
PA
Other
Enumeration date
04/14/2020
Last updated
04/14/2020
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