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Organization
LIZA GREVILLE LCSW, LLC
Active
Organization
LIZA GREVILLE LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH GREVILLE LCSW (SOLE OWNER)
(814) 389-8436
Entity
Organization
Contact information
Practice address
226 CHESTNUT ST, KANE, PA 16735-1659
(814) 389-8436
Mailing address
226 CHESTNUT ST STE 215, KANE, PA 16735-1659
(814) 389-8436
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
03/12/2019
Last updated
12/03/2020
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