Individual
MS. SUSAN L CHACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10125 VERREE RD SUITE 304, JEWISH FAMILY AND CHILDRENS SERVICE, PHILADELPHIA, PA 19116
(215) 673-0100
(215) 934-6284
Mailing address
8005 RODGERS RD, ELKINS PARK, PA 19027-1325
(215) 782-8088
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CW014129
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000008810009
—
PA
Enumeration date
01/23/2007
Last updated
07/08/2007
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