Organization
SACRED GROUND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANNE MARIE CORMIER MSW, LSW, M.DIV (PSYCHOTHERAPIST/COUNSELOR)
(484) 529-3856
Entity
Organization
Contact information
Practice address
1291 READING AVE, BOYERTOWN, PA 19512-8186
(484) 529-3856
Mailing address
61 TOWNSHIP LINE RD, DOUGLASSVILLE, PA 19518-1698
(484) 529-3856
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
SW007093L
PA
Other
Enumeration date
01/09/2012
Last updated
05/05/2014
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