Individual
ELISE WAKELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5675 N FRONT ST, PHILADELPHIA, PA 19120-2719
(215) 279-9671
(215) 279-9674
Mailing address
1500 MARKET ST, LM 500 WEST TOWER ATTN: D. PRITCHARD/SHS, PHILADELPHIA, PA 19102-2100
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW019348
PA
Other
Enumeration date
02/06/2017
Last updated
02/06/2017
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