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Organization
MAIN LINE COUNSELING & WELLNESS CENTER, INC
Active
Organization
MAIN LINE COUNSELING & WELLNESS CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL CHANDLER LCSW (LICENSED CLINICAL SOCIAL WORKER)
(610) 664-2524
Entity
Organization
Contact information
Practice address
104 1/2 FORREST AVE, SUITE 27, NARBERTH, PA 19072-2220
(610) 664-2524
Mailing address
104 1/2 FORREST AVE, SUITE 27, NARBERTH, PA 19072-2220
(610) 664-2524
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
PC006228
PA
1041C0700X
Clinical Social Worker
CW017261
PA
1041C0700X
Clinical Social Worker
Primary
CW017311
PA
Other
Enumeration date
09/20/2013
Last updated
09/20/2013
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