Individual
MS. HEATHER LYNNE MABRY-KOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
3330 W 26TH ST STE 426, ERIE, PA 16506-2449
(610) 572-6288
Mailing address
6A GRANITE DR # A, EAST EARL, PA 17519-9486
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW135528
PA
Other
Enumeration date
05/18/2023
Last updated
05/18/2023
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