Individual
ELLEN WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
18 HILLTOP RD, PHILADELPHIA, PA 19118-3736
(215) 242-3710
Mailing address
18 HILLTOP RD, PHILADELPHIA, PA 19118-3736
(215) 242-3710
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CW012915
PA
Other
Enumeration date
06/27/2006
Last updated
03/05/2010
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