Most Relevant Information
Provider Data
| NPI Number: | 1003537028 |
| Provider Name: | ELISE MARIE WATSON LSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | SW138450 |
Most Important Dates
| Enumeration Date: | 09/07/2022 |
| Last Updated: | 09/07/2022 |
Provider Practice Location
2135 E LETTERLY ST
PHILADELPHIA
PA
191251612
Practice Location Phone/Fax
| Phone: | 4844011792 |
| Fax: |
Provider Mailing Location
2135 E LETTERLY ST
PHILADELPHIA
PA
191251612
Provider Mailing Phone/Fax
| Phone: | 4844011792 |
| Fax: |