Individual
MS. BARBARA LORRAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6012 RIDGE AVE, PHILA, PA 19128-1643
(215) 487-1990
(215) 487-1992
Mailing address
4041 RIDGE AVE APT 18510, PHILA, PA 19129-1557
(215) 779-0611
(215) 487-1990
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW006962L
PA
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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