Provider Demographics
NPI:1023112612
Name:MAGUIRE, FRANCIS J (LSW)
Entity type:Individual
Prefix:
First Name:FRANCIS
Middle Name:J
Last Name:MAGUIRE
Suffix:
Gender:M
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7840 HASBROOK AVE A-9
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19111
Mailing Address - Country:US
Mailing Address - Phone:215-823-5800
Mailing Address - Fax:215-823-5880
Practice Address - Street 1:7840 HASBROOK AVE APT A9
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19111-2243
Practice Address - Country:US
Practice Address - Phone:215-923-1163
Practice Address - Fax:215-923-4032
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-12
Last Update Date:2008-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW011608L104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker