Individual
MS. GRACE AUDREY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
850 W LANCASTER AVE STE 2, BRYN MAWR, PA 19010-3220
(484) 383-0038
(484) 656-7200
Mailing address
850 W LANCASTER AVE STE 2, BRYN MAWR, PA 19010-3220
(610) 520-1510
(610) 520-1517
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW022495
PA
Other
Enumeration date
08/19/2022
Last updated
09/28/2022
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