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Organization

SHINING STAR THERAPY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SUSANNE MILLER DIEMERT ACSW, LCSW (OWNER)
(724) 875-4946
Entity
Organization

Contact information

Practice address
56 SHERATON DR STE 200, GREENSBURG, PA 15601-7555
(724) 875-4946
(724) 420-5732
Mailing address
123 FLOUR BAG FORT LN, CLARIDGE, PA 15623-1938
(724) 875-4946
(724) 744-4275

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
CW017704
PA

Other

Enumeration date
01/22/2018
Last updated
01/22/2018
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