Individual
EMRIS BERNADETTE GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
173 HOUSTON RD, LANSDOWNE, PA 19050-1709
(215) 906-2885
Mailing address
173 HOUSTON RD, LANSDOWNE, PA 19050-1709
(215) 906-2885
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/18/2009
Last updated
12/18/2009
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