Individual
ILENE J VANGILDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1951 PINE HALL RD STE 225, STATE COLLEGE, PA 16801-5107
(814) 237-0001
(814) 237-0116
Mailing address
1951 PINE HALL RD STE 225, STATE COLLEGE, PA 16801-5107
(814) 237-0001
(814) 237-0116
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
126252
PA
1041C0700X
Clinical Social Worker
CW017410
PA
Other
Enumeration date
04/03/2012
Last updated
05/28/2024
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