Individual
MARY ELLEN BROGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
150 GREYHORSE RD, WILLOW GROVE, PA 19090-1607
(203) 249-7664
Mailing address
150 GREYHORSE RD, WILLOW GROVE, PA 19090-1607
(203) 249-7664
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW126825
PA
Other
Enumeration date
03/08/2011
Last updated
10/23/2019
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