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Individual

ALEXANDRA SHARPE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
235 MAIN ST, BLAKELY, PA 18447-1233
(484) 241-5348
Mailing address
235 MAIN ST, BLAKELY, PA 18447-1233

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC009173
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PC009173
LICENSE PROFESSIONAL COUNSELOR
PA
Enumeration date
11/06/2016
Last updated
11/06/2016
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