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1174373328
ELLEN BROCK
MEDIA, PA
NPI
1174373328
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: PA CW021094)
Enumeration Date
2024-03-22
Last Update Date
2024-03-22
Business Address
ELLEN BROCK LCSW
280 N PROVIDENCE RD STE 2
MEDIA, PA 19063-3525
Phone number: 484-445-4145
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Mailing Address
ELLEN BROCK LCSW
62 OLD LANCASTER RD
DEVON, PA 19333-1307
Phone number:
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