Individual
ELIZABETH BRACCIA-HUBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
519 DAVISVILLE RD # 101, WILLOW GROVE, PA 19090-1525
(267) 685-3197
Mailing address
519 DAVISVILLE RD # 101, WILLOW GROVE, PA 19090-1525
(267) 685-3197
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
020805
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020805
LICENSE
—
Enumeration date
01/05/2021
Last updated
01/05/2021
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