Individual
CASEY LYNN GANZ-LEARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
4601 MARKET ST FL 3, PHILADELPHIA, PA 19139-4636
(215) 590-7555
Mailing address
3460 MIDVALE AVE APT 103, PHILADELPHIA, PA 19129-1454
(845) 544-0241
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC016006
PA
Other
Enumeration date
08/10/2023
Last updated
12/17/2024
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