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NPI Code Detail

MEDICARE: LAUREN DAPHNE POKRAS LCSW

MEDICARE: LAUREN DAPHNE POKRAS LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker26452064PA

General Provider Information

NPI Number : 1205180809
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN DAPHNE POKRAS LCSW
Provider Business Mailing Address
First Line : 426 W MOUNT AIRY AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19119-2946
Country : US
Telephone Number : 610-247-0839
Fax Number :
Provider Business Practice Location Address
First Line : 426 W MOUNT AIRY AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19119-2946
Country : US
Telephone Number : 610-247-0839
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2012
Last Update Date : 11/04/2012

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Directions to “ LAUREN DAPHNE POKRAS LCSW” Practice Location

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