Individual
BRANDAIS QUAY GARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
123 HAMPDEN DR APT J, MOUNTVILLE, PA 17554-1800
(717) 824-6370
Mailing address
123 HAMPDEN DR APT J, MOUNTVILLE, PA 17554-1800
(717) 824-6370
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC015606
PA
Other
Enumeration date
08/26/2021
Last updated
06/26/2024
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