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Organization
THE WILLOW SPACE FOR TRAUMA TREATMENT LLC
Active
Organization
THE WILLOW SPACE FOR TRAUMA TREATMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN ZIEGELMEYER MA (CO-OWNER)
(513) 255-1546
Entity
Organization
Contact information
Practice address
1770 LANCASTER AVE STE 12, PAOLI, PA 19301-1575
(484) 442-0832
Mailing address
1770 LANCASTER AVE STE 12, PAOLI, PA 19301-1575
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/28/2025
Last updated
03/28/2025
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