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1861639510
LISA LUCKER ETKINS
PHILADELPHIA, PA
NPI
1861639510
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: PA CW016097)
Enumeration Date
2009-01-17
Last Update Date
2011-12-27
Business Address
Mrs. LISA LUCKER ETKINS LCSW, OSW-C
505 S 22ND ST
PHILADELPHIA, PA 19146-1246
Phone number: 215-545-1175
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Mailing Address
Mrs. LISA LUCKER ETKINS LCSW, OSW-C
2401 PENNSYLVANIA AVE 7B22
PHILADELPHIA, PA 19130-3010
Phone number: 215-232-2848
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