Individual
ELIZABETH C FIEBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8001 ROOSEVELT BLVD, SUITE 301, PHILADELPHIA, PA 19152-3038
(215) 331-3200
(215) 331-3977
Mailing address
200 W WASHINGTON SQ, #2804, PHILADELPHIA, PA 19106-3513
(215) 815-8424
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW014893
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2399738000
PERSONAL CHOICE
PA
Enumeration date
11/08/2006
Last updated
07/08/2007
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