Organization
ALI WILBURN LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALEXIS TRUE WILBURN LCSW (PSYCHOTHERAPIST)
(610) 716-3979
Entity
Organization
Contact information
Practice address
5 MYSTIC LN, MALVERN, PA 19355-1942
(610) 716-3979
Mailing address
5 MYSTIC LN, MALVERN, PA 19355-1942
(610) 716-3979
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW015351
PA
Other
Enumeration date
06/02/2015
Last updated
06/02/2015
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