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Individual

MARIE R BRAUCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA LPC

Contact information

Practice address
697 STATE ST, #5, BEAVER, PA 15009
(724) 622-4719
Mailing address
207 VALLEY AVE, #35, NEW BRIGHTON, PA 15066-3454
(724) 622-4719

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PC002937
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001448341
BCBS OF W PA
PA
Enumeration date
07/18/2008
Last updated
07/18/2008
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