Individual
MRS. ANN ELIZABETH MEDIANICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. A., M. S.
Contact information
Practice address
219 W MAIN ST, LEOLA, PA 17540-1753
(717) 556-0149
(717) 556-0149
Mailing address
219 W MAIN ST, LEOLA, PA 17540-1753
(717) 556-0149
(717) 556-0149
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC005775
PA
Other
Enumeration date
03/04/2011
Last updated
03/04/2011
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