Individual
GRACEY LUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
39 W MAIN AVE, MYERSTOWN, PA 17067-1122
(717) 376-3075
Mailing address
39 W MAIN AVE, MYERSTOWN, PA 17067-1122
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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