Erica Ellis LSW

NPI 1245507185 - Social Worker - 104100000X

NPI Details
NPI 1245507185
Gender Female
Enumeration Date 11/21/2011
Last Updated 11/23/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
3900 WOODLAND AVE
PHILADELPHIA PA, 19104-4551, US
Phone (215) 823-5800
Fax (215) 823-4558
Business Location
3900 WOODLAND AVE
PHILADELPHIA PA, 19104-4551, US
Phone
Fax
Toxanomy
Taxonomy Code 104100000X
License State Pennsylvania
License Number SW129017
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According to our database, Erica Ellis LSW NPI is 1245507185, taxonomy code is 104100000X and license number is SW129017, license state is located at Pennsylvania. Erica Ellis LSW physically located at 3900 Woodland Ave, Philadelphia PA, 19104-4551. NPI Number Erica Ellis LSW has the Individual type.

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1245507185 NPI number is provided on an as is basis without warranty of any kind. 1245507185 is maintained by the National Plan & Provider Enumeration System. The contents of Erica Ellis LSW are for informational purposes only.