Mary Ellen Edge

NPI #1225497480 in Milton, Delaware

Provider Information

NPI Number: 1225497480
Entity Type: Individual
Name: Mary Ellen Edge
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Enumeration Date: Feb 16, 2016
Last Updated: Feb 16, 2016

Practice Location

Address: 206 VILLAGE CENTER BLVD
City: Milton
State: Delaware
ZIP Code: 19968-1378
Phone: (610) 574-0833

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary
Registered Nurse	163W00000X

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