Individual
KATIE MORTARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
160 E ERIE AVE, PHILADELPHIA, PA 19134-1011
(215) 427-5265
Mailing address
838 N NEWKIRK ST APT G1, PHILADELPHIA, PA 19130-1730
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW019948
PA
Other
Enumeration date
12/08/2022
Last updated
12/08/2022
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