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Individual

JOEL MCINTOSH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
2940 N 5TH ST, PHILADELPHIA, PA 19133-2801
(215) 221-6633
Mailing address
2940 N 5TH ST, PHILADELPHIA, PA 19133-2801

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW018049
PA

Other

Enumeration date
03/19/2014
Last updated
06/05/2014
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