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Individual

ETHEL DEBORAH WACHS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
93 OLD YORK RD, JENKINTOWN, PA 19046-3925
(215) 885-3337
Mailing address
7841 LANGDON ST, PHILA, PA 19111-3534
(215) 742-6192

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW013129
PA

Other

Enumeration date
01/13/2009
Last updated
01/13/2009
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