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Individual

STEPHANIE BAUMGRATZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD LMFT

Contact information

Practice address
2222 FILMORE AVE STE 607, ERIE, PA 16506-2984
(814) 882-4823
(814) 725-0707
Mailing address
4402 PEACH ST STE 101B, ERIE, PA 16509-1358
(814) 882-4823
(814) 725-0707

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MF000332
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
618857
VBH
PA
Enumeration date
04/24/2008
Last updated
10/23/2019
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