Individual
ELIZABETH ROSE HIGGINBOTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
105 FLORAL VALE BLVD, YARDLEY, PA 19067-5522
(855) 765-6399
Mailing address
5215 ADDISON ST, PHILADELPHIA, PA 19143-1516
(215) 531-1092
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW137812
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SW137812
ASWB
PA
Enumeration date
07/19/2023
Last updated
07/19/2023
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