Individual
ELAINE MARIE MAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
(215) 456-7890
Mailing address
PO BOX 30, ADAMSTOWN, PA 19501-0030
(717) 682-0979
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/21/2022
Last updated
06/21/2022
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