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Individual

MRS. SUZANNE LEE GRIERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1258 PURDYTOWN TPKE, SUITE 2, LAKEVILLE, PA 18438-6793
(570) 226-4444
(570) 226-4333
Mailing address
67 OAK MOUNTAIN DR, HAWLEY, PA 18428-8225

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CW014961
PA
104100000X
Social Worker
SC047919
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PTAN 160320
PA
Enumeration date
08/30/2005
Last updated
08/31/2010
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