Individual
MRS. CARLY ELLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
39 KENILWORTH RD, SHAVERTOWN, PA 18708-1317
(914) 393-2897
Mailing address
39 KENILWORTH RD, SHAVERTOWN, PA 18708-1317
(914) 393-2897
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW019074
PA
Other
Enumeration date
07/13/2010
Last updated
02/27/2017
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