Lee Fulton Carson MSW, LSW

NPI 1790839595 - Counselor - 101YM0800X

NPI Details
NPI 1790839595
Gender Male
Enumeration Date 01/22/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1201 CHESTNUT ST
2ND FLOOR
PHILADELPHIA PA, 19107-4123, US
Phone (215) 563-0652
Fax
Business Location
1428 WOLF ST
APARTMENT #3
PHILADELPHIA PA, 19145-4448, US
Phone (267) 765-2352
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State Pennsylvania
License Number SW125607
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According to our database, Mr. Lee Fulton Carson MSW, LSW NPI is 1790839595, taxonomy code is 101YM0800X and license number is SW125607, license state is located at Pennsylvania. Lee Fulton Carson MSW, LSW physically located at 1201 Chestnut St, Philadelphia PA, 19107-4123. NPI Number Lee Fulton Carson MSW, LSW has the Individual type.

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1790839595 NPI number is provided on an as is basis without warranty of any kind. 1790839595 is maintained by the National Plan & Provider Enumeration System. The contents of Lee Fulton Carson MSW, LSW are for informational purposes only.