Individual
ELI JOSEPH VANDENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
1700 SANSOM ST FL 11, PHILADELPHIA, PA 19103-5245
(215) 563-7863
Mailing address
1700 SANSOM ST FL 11, PHILADELPHIA, PA 19103-5245
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW141917
PA
Other
Enumeration date
08/08/2025
Last updated
08/08/2025
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