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1440 Conchester Hwy Ste 7b Garnet Valley PA 19060-2105 | |
| (484) 221-6011 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1440 Conchester Hwy Ste 7b, Garnet Valley, Pennsylvania |
| Authorized Official Name and Position | Shawna J Price (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 4843268150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 1186 Brookhaven PA 19015-0186 Ph: (484) 326-8150 | 1440 Conchester Hwy Ste 7b Garnet Valley PA 19060-2105 Ph: (484) 221-6011 |
| NPI Number | 1871253955 |
|---|---|
| Provider Enumeration Date | 12/30/2021 |
| Last Update Date | 02/07/2025 |
| Certification Date | 02/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871253955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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