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Individual

HARPER BAY TICE GILLARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1062 E LANCASTER AVE APT 620, BRYN MAWR, PA 19010-1527
(717) 860-6091
Mailing address
1062 E LANCASTER AVE APT 620, BRYN MAWR, PA 19010-1527
(717) 860-6091

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
06/12/2023
Last updated
07/02/2025
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