Individual
ELISABETH REBECCA LISTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
410 N PRINCE ST, LANCASTER, PA 17603-3010
(717) 560-6452
Mailing address
525 WHITE CHAPEL RD, LANCASTER, PA 17603-9032
(570) 801-4112
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW135071
PA
Other
Enumeration date
03/04/2018
Last updated
03/04/2018
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