Organization
CENTER FOR LOSS AND BEREAVEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHIRLEY JEAN ELROD LMFT (EXECUTIVE DIRECTOR)
(610) 222-4110
Entity
Organization
Contact information
Practice address
3847 SKIPPACK PIKE, SKIPPACK, PA 19474-1299
(610) 222-4110
Mailing address
3847 SKIPPACK PIKE, SKIPPACK, PA 19474-1299
(610) 222-4110
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
MF000192
PA
Other
Enumeration date
03/27/2012
Last updated
03/27/2012
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