Individual
RENNETH ABIGAIL GREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
137 PICKET POST LN, PHOENIXVILLE, PA 19460-5619
(610) 716-4497
Mailing address
137 PICKET POST LN, PHOENIXVILLE, PA 19460-5619
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW129213
PA
Other
Enumeration date
03/13/2013
Last updated
03/13/2013
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