Individual
ELENA WOOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 CHURCH ST, PHILADELPHIA, PA 19106-2201
(267) 807-0550
Mailing address
25 W LINDEN AVE APT 3A, COLLINGSWOOD, NJ 08108-2036
(856) 685-3424
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/12/2023
Last updated
04/12/2023
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