Individual
JULIA MAE GOTTLIEB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
525 S 4TH ST, SUITE 240B, PHILADELPHIA, PA 19147-1570
(484) 362-9792
Mailing address
328 EARP ST, PHILADELPHIA, PA 19147-5904
(717) 648-0012
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW018079
PA
Other
Enumeration date
06/07/2011
Last updated
02/22/2016
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