Individual
BETH LORELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, MPH, CPH
Contact information
Practice address
1930 S BROAD ST, PHILADELPHIA, PA 19145-2328
(215) 339-4563
Mailing address
440 S BROAD ST, APT. 1603, PHILADELPHIA, PA 19146-4901
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
059776
NY
1041C0700X
Clinical Social Worker
Primary
CW016209
PA
Other
Enumeration date
11/09/2012
Last updated
11/09/2012
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