Individual
CARLY CHODOSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1215 W BALTIMORE PIKE, MEDIA, PA 19063-5540
(267) 519-0241
Mailing address
7 MAPLE AVE, BALA CYNWYD, PA 19004-3120
(215) 630-6709
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW023021
PA
Other
Enumeration date
07/12/2021
Last updated
12/01/2022
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