Individual
EVELYN GRUPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4101 BIRNEY AVE, MOOSIC, PA 18507-1323
(507) 961-3361
(570) 961-3364
Mailing address
806 MONTGOMERY AVE APT C12, BRYN MAWR, PA 19010-3302
(610) 608-5565
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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