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Individual

CAITLIN DEBORAH CANTOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW, MSW

Contact information

Practice address
1500 WALNUT ST, SUITE 700, PHILADELPHIA, PA 19102-3523
(215) 450-0900
Mailing address
111 S 15TH ST, APT 2111, PHILADELPHIA, PA 19102-2625
(215) 450-0900

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW017703
PA

Other

Enumeration date
09/12/2013
Last updated
09/12/2013
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