Individual
MRS. ELLEN J DIAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
112 N BROAD ST, RM 821, PHILADELPHIA, PA 19102-1512
(215) 568-0860
(215) 568-0769
Mailing address
5823 CHEW AVE, PHILADELPHIA, PA 19138-1735
(215) 843-1166
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
PA SW 123695
PA
Other
Enumeration date
08/15/2008
Last updated
08/15/2008
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