Individual
MICHAEL ERWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
4040 MARKET ST, SUITE 320, PHILADELPHIA, PA 19104-3003
(215) 390-1500
(215) 382-1099
Mailing address
4408 LOCUST ST, APT. 1R, PHILADELPHIA, PA 19104-2987
(215) 390-1500
(215) 382-1099
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW128914
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SW128914
SOCIAL WORKER LICENSE
PA
Enumeration date
02/13/2012
Last updated
02/13/2012
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