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Organization
LAURIE E ETZRODT
Active
Organization
LAURIE E ETZRODT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE E ETZRODT MSS,LCSW (PRESIDENT)
(215) 493-8896
Entity
Organization
Contact information
Practice address
301 OXFORD VALLEY RD, 304A, YARDLEY, PA 19067-7706
(215) 493-8896
(215) 340-1867
Mailing address
301 OXFORD VALLEY RD, 304A, YARDLEY, PA 19067-7706
(215) 493-8896
(215) 340-1867
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CWO14488
PA
Other
Enumeration date
05/20/2015
Last updated
05/20/2015
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