Individual
ANGELINA GRADIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11279 PERRY HWY, SUITE 450, WEXFORD, PA 15090-9381
(724) 933-1100
Mailing address
11279 PERRY HWY, SUITE 450, WEXFORD, PA 15090-9381
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC005950
PA
Other
Enumeration date
07/13/2010
Last updated
06/15/2021
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