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Individual

DR. ROCHELLE DENISE GRADY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DA IN MFT

Contact information

Practice address
4617 WOODLAND AVE, PHILADELPHIA, PA 19143-3836
(215) 356-8501
Mailing address
642 MULFORD RD, WYNCOTE, PA 19095-1110

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary

Other

Enumeration date
03/06/2019
Last updated
03/06/2019
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