Individual
DANIELLE GRASTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
508 MACDADE BLVD, COLLINGDALE, PA 19023-3334
(610) 905-0158
Mailing address
508 MACDADE BLVD, COLLINGDALE, PA 19023-3334
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
PA
101Y00000X
Counselor
—
—
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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