Individual
MRS. JULIE BERG DOMBOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1055 E BALTIMORE PIKE, SUITE 303 DELEWARE COUNTY PROFESSIONAL SERVICES, MEDIA, PA 19063
(610) 892-3800
(484) 468-1412
Mailing address
1204 HOLLY LANE, GLEN MILLS, PA 19342
(610) 892-3800
(484) 468-1412
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW015526
PA
Other
Enumeration date
05/29/2007
Last updated
07/08/2007
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