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Individual

EMILY CLAIRE SEIDLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
4200 MONUMENT RD, PHILADELPHIA, PA 19131-1625
(215) 581-5423
Mailing address
4933 WALTON AVE, PHILADELPHIA, PA 19143-2008

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW019482
PA
1041C0700X
Clinical Social Worker

Other

Enumeration date
11/07/2017
Last updated
06/21/2021
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