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Individual
MRS. JULIA GRACE FISHER
Active
Individual
MRS. JULIA GRACE FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATR-BC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC011302
PA
221700000X
Art Therapist
17-264
PA
Other
Enumeration date
06/20/2018
Last updated
07/20/2021
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