Individual
MISS MICHELE PRINCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
118 S MAIN ST, 1ST FLOOR, SPRING GROVE, PA 17362
(717) 225-8900
Mailing address
118 S MAIN ST, 1ST FLOOR, SPRING GROVE, PA 17362
(717) 225-8900
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
SW007665L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03103801
CAPITAL BLUE CROSS PIN #
PA
Enumeration date
08/21/2006
Last updated
07/08/2007
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