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Individual

GRACIE BERRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BS

Contact information

Practice address
413 CHURCH ST, LANCASTER, PA 17602
(413) 931-1564
Mailing address
413 CHURCH ST, LANCASTER, PA 17602-4413
(413) 931-1564

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
06/01/2015
Last updated
06/01/2015
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