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Individual

ELIZABETH MANDERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, BC-DMT, LPC

Contact information

Practice address
1601 CHERRY ST, DREXEL UNIVERSITY, CAT DEPT., MAIL STOP 7905, PHILADELPHIA, PA 19102-1320
(215) 764-6267
Mailing address
1601 CHERRY ST, DREXEL UNIVERSITY, CAT DEPT., MAIL STOP 7905, PHILADELPHIA, PA 19102-1320
(215) 764-6267

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PC005513
PA

Other

Enumeration date
09/05/2014
Last updated
09/05/2014
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