Individual
GRACEN CABRAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 CHURCH ST, PHILADELPHIA, PA 19106-2201
(267) 807-0550
Mailing address
97 ASHLAND AVE APT 6B, BALA CYNWYD, PA 19004-1848
(717) 713-1506
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/26/2023
Last updated
12/26/2023
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