Organization
CHAMPION COMPREHENSIVE EVOLUTION
Active
Organization
CHAMPION COMPREHENSIVE EVOLUTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHERINE D FERRARI PH.D., LCSW (FOUNDER)
(724) 812-1101
Entity
Organization
Contact information
Practice address
251 MELCROFT RD, MELCROFT, PA 15462-1017
(724) 812-1101
Mailing address
277 DAHL RD, CHAMPION, PA 15622-2077
(724) 812-1101
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW016775
PA
Other
Enumeration date
05/05/2014
Last updated
09/16/2019
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