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Individual

ELIZABETH BIVONA TANKEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSS, LCSW, CAADC

Contact information

Practice address
17 WILDWOOD DR, MALVERN, PA 19355-2955
(610) 585-0262
Mailing address
17 WILDWOOD DR, MALVERN, PA 19355-2955
(610) 585-0262

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW024116
PA

Other

Enumeration date
04/09/2021
Last updated
11/16/2023
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