Individual
MRS. MICHELE RENEE WARD-ILLICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
1140 MCDERMOTT DR, SUITE 100-101, WEST CHESTER, PA 19380-4043
(610) 430-6572
Mailing address
520 E LANCASTER AVE, DOWNINGTOWN, PA 19335-2723
(610) 430-6572
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW124323
PA
Other
Enumeration date
06/16/2009
Last updated
06/16/2009
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