Pennsylvania
Department of State
LISA FORMAN
Social Worker
License number
SW007050L
Date granted
12/23/1991
Date expires
02/28/2015
Class
Social Worker
Status
Active
Address
Philadelphia PA 19118
palicensing.org
ID 17731418
LAST UPDATED 2024-06-02 00:18:28 UTC
LAST UPDATED 2024-06-02 00:18:28 UTC
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