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Individual

MRS. SHARON JUDITH RISER

Active
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Individual

MRS. SHARON JUDITH RISER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MD031501E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0083209000
MAGELLAN ID
PA
05
—
1091921
—
PA
01
—
139926
BC/BS ID
PA
01
—
7375059
AETNA ID
PA
Enumeration date
09/25/2006
Last updated
07/08/2007
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