Individual
AURELIE FANNY SARA HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
110 MAIN ST, JOHNSTOWN, PA 15901
(814) 266-8840
Mailing address
361 ELM ST, INDIANA, PA 15701
(347) 387-0808
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/03/2025
Last updated
06/03/2025
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