Individual
IVY ELWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1528 WALNUT ST STE 805, PHILADELPHIA, PA 19102-3608
(267) 758-7900
Mailing address
450 OLD LANCASTER RD APT 7, HAVERFORD, PA 19041-1561
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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