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Individual

ELI EPHRAIM MANDEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSW, LSW

Contact information

Practice address
21 S 12TH ST, 8TH FL., PHILADELPHIA, PA 19107-3614
(210) 365-5787
Mailing address
919 PINE ST APT 3R, PHILADELPHIA, PA 19107-6164
(210) 365-5787

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW131513
PA

Other

Enumeration date
07/28/2014
Last updated
08/15/2014
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