TRACEY B ELLENBOGEN

WYNNEWOOD, PA
NPI1134261357
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: PA  CW014507)
Enumeration Date2007-02-13
Last Update Date2007-07-08
Business Address
-- TRACEY B ELLENBOGEN MSW,LCSW
300 E LANCASTER AVE SUITE 207
WYNNEWOOD, PA 19096-2139
Phone number: 610-457-6361
Mailing Address
-- TRACEY B ELLENBOGEN MSW,LCSW
PO BOX 642
BALA CYNWYD, PA 19004-0642
Phone number: 610-457-6361
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