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Active
Organization subpart
No

Provider details

NPI number
Authorized official
SARA DOMINICA EDWARDS LPC (OWNER)
(657) 235-2656
Entity
Organization

Contact information

Practice address
227 W BROAD ST STE 104, BETHLEHEM, PA 18018-5570
(657) 235-2656
Mailing address
227 W BROAD ST STE 104, BETHLEHEM, PA 18018-5570
(657) 235-2656

Taxonomy

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

Other

Enumeration date
12/29/2023
Last updated
12/29/2023
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