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Organization
WILLOW THERAPY AND WELLNESS
Active
Organization
WILLOW THERAPY AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELYSE WILLIAMS LPC (OWNER/CLINICIAN)
(443) 480-3673
Entity
Organization
Contact information
Practice address
1713 STARR LN, GLENSIDE, PA 19038-1400
(443) 480-3673
Mailing address
1713 STARR LN, GLENSIDE, PA 19038-1400
(443) 480-3673
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/19/2023
Last updated
10/19/2023
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