Individual
BLAIR E PALLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2401 PENNSYLVANIA AVE STE 1C52, PHILADELPHIA, PA 19130-7723
(215) 605-4539
Mailing address
2401 PENNSYLVANIA AVE STE 1C52, PHILADELPHIA, PA 19130-7723
(215) 605-4539
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
CW017271
PA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
03/01/2010
Last updated
01/31/2020
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