Individual
MARIE GRACE NEWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1026 CHESTNUT ST, KULPMONT, PA 17834-1210
(814) 691-7574
Mailing address
1026 CHESTNUT ST, KULPMONT, PA 17834-1210
(814) 691-7574
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
PA
Other
Enumeration date
03/08/2022
Last updated
03/08/2022
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