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Individual

CHARLOTTE MARIE TEST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
233 W HIGH ST, GETTYSBURG, PA 17325-2124
(717) 334-2433
Mailing address
233 W HIGH ST, GETTYSBURG, PA 17325-2124
(717) 334-2433

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
RI-T1311201236
CA

Other

Enumeration date
11/21/2013
Last updated
11/21/2013
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