Individual
KIM BRACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S., M.S.
Contact information
Practice address
1359 SWEET ARROW LAKE ROAD, PINE GROVE, PA 17963
(610) 987-8519
Mailing address
1359 SWEET ARROW LAKE RD, PINE GROVE, PA 17963-9006
(610) 987-8519
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
62
PA
Other
Enumeration date
12/31/2009
Last updated
12/31/2009
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