Individual
AVERY CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
95 HOWELLVILLE RD, BERWYN, PA 19312-1307
(610) 647-1431
Mailing address
95 HOWELLVILLE RD, BERWYN, PA 19312-1307
(610) 647-1431
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC010411
PA
Other
Enumeration date
02/25/2019
Last updated
02/25/2019
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