Individual
MS. ALLAIRE ELLEN WOHLGEMUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
255 S 17TH ST, SUITE 1509, PHILADELPHIA, PA 19103-6231
(267) 575-7772
Mailing address
255 S 17TH ST, SUITE 1509, PHILADELPHIA, PA 19103-6231
(267) 575-7772
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW125312
PA
Other
Enumeration date
03/07/2007
Last updated
12/17/2009
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