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Organization
SUMMIT GROVE THERAPY
Active
Organization
SUMMIT GROVE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA RALPH (OWNER, THERAPIST)
(717) 222-0361
Entity
Organization
Contact information
Practice address
26 SUMMIT GROVE AVE STE 211, BRYN MAWR, PA 19010-3230
(484) 442-0478
Mailing address
26 SUMMIT GROVE AVE STE 211, BRYN MAWR, PA 19010-3230
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC006299
PA
1041C0700X
Clinical Social Worker
CW012101
PA
Other
Enumeration date
07/05/2018
Last updated
07/05/2018
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