Individual
LAURA ELAINE DUTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1315 SPRUCE ST, PHILADELPHIA, PA 19107-5601
(215) 732-2220
Mailing address
1315 SPRUCE ST, PHILADELPHIA, PA 19107-5601
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW018729
PA
Other
Enumeration date
12/03/2018
Last updated
12/03/2018
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