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Organization
GRACE IS WITHIN LLC
Active
Organization
GRACE IS WITHIN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASIE VARGSON LPC (LICENSE PROFESSIONAL COUNSELOR)
(570) 529-1659
Entity
Organization
Contact information
Practice address
123 CRIMM RD, FORD CITY, PA 16226-6705
(724) 681-4131
Mailing address
185 KINGS RD, APOLLO, PA 15613-9737
(570) 529-1659
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/15/2023
Last updated
02/15/2023
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