Individual
LAURA ALENE MCFETRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
100 W LEHIGH AVE, PHILADELPHIA, PA 19133-4039
(215) 203-3037
(215) 203-3078
Mailing address
2840 W DAUPHIN ST, PHILADELPHIA, PA 19132-4627
(215) 739-2075
(215) 203-3078
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW016265
PA
Other
Enumeration date
11/19/2012
Last updated
11/20/2012
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