Individual
GLORIA M WELLBROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
110 HEMLOCK FARMS RD STE 7, LORDS VALLEY, PA 18428-6133
(646) 236-2534
Mailing address
110 HEMLOCK FARMS RD, LORDS VALLEY, PA 18428-6145
(646) 236-2534
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
076627-1
NY
1041C0700X
Clinical Social Worker
Primary
CW021503
PA
Other
Enumeration date
06/10/2009
Last updated
09/10/2021
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