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Individual

BETH MARIE GAGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNS

Contact information

Practice address
5501 OLD YORK RD, LEVY 9TH FLOOR, PHILADELPHIA, PA 19141-0000
(215) 456-7025
(215) 456-7692
Mailing address
5501 OLD YORK RD, LEVY 9TH FLOOR, PHILADELPHIA, PA 19141-0000
(215) 456-7025
(215) 456-7692

Taxonomy

Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
RN-340576-L
PA
364SP0813X
Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist
RN-340576-L
PA

Other

Enumeration date
09/20/2007
Last updated
09/24/2009
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