Organization
GLEN MILLS COUNSELING CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA AGOSTINELLI (OWNER)
(610) 656-1424
Entity
Organization
Contact information
Practice address
736 BALTIMORE PIKE, SUITE 3, GLEN MILLS, PA 19342-1074
(610) 656-1424
Mailing address
736 BALTIMORE PIKE, GLEN MILLS, PA 19342-1074
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW017215
PA
Other
Enumeration date
11/03/2016
Last updated
11/03/2016
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