Individual
MISS BRIANNA SHAE GLEASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.R.S.
Contact information
Practice address
3030 CHESTNUT ST, LEBANON, PA 17042-2518
(717) 273-8000
(717) 273-8244
Mailing address
3030 CHESTNUT ST, LEBANON, PA 17042-2518
(717) 273-8000
(717) 273-8244
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
17325
PA
Other
Enumeration date
05/24/2022
Last updated
05/24/2022
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