Individual
STEPHANIE MARIE LARRISEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
668 EXTON CMNS, EXTON, PA 19341-2446
(610) 280-0180
(610) 280-0192
Mailing address
668 EXTON CMNS, EXTON, PA 19341-2446
(610) 280-0180
(610) 280-0192
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PC007086
PA
Other
Enumeration date
02/16/2018
Last updated
02/16/2018
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