Organization
GRACELI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LOURNA ANGELIKA CHARLES LCSW (THERAPIST/CEO)
(516) 305-7659
Entity
Organization
Contact information
Practice address
529 SEVEN BRIDGE RD UNIT 207, EAST STROUDSBURG, PA 18301-7608
(570) 431-3081
Mailing address
6624 TIMOTHY LAKE RD, EAST STROUDSBURG, PA 18302-8686
(516) 305-7659
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/06/2019
Last updated
12/06/2019
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