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Organization
PENNSYLVANIA GESTALT CENTER
Active
Organization
PENNSYLVANIA GESTALT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RON GLADIS (EXECUTIVE DIRECTOR)
(610) 251-0945
Entity
Organization
Contact information
Practice address
1434 TREELINE DR, MALVERN, PA 19355-9703
(610) 251-0945
Mailing address
1434 TREELINE DR, MALVERN, PA 19355-9703
(610) 251-0945
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW-012100
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CW012100
CLINICAL SOCIAL WORKER
—
Enumeration date
12/16/2009
Last updated
12/16/2009
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