Individual
CHANDLER BALLBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1920 CHESTNUT ST, PHILADELPHIA, PA 19103-4634
(612) 968-0660
Mailing address
1920 CHESTNUT ST STE 301, PHILADELPHIA, PA 19103-4620
(612) 968-0660
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW138080
PA
Other
Enumeration date
02/01/2022
Last updated
02/01/2022
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