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1083094577
GRACIE BERRY
LANCASTER, PA
NPI
1083094577
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-06-01
Last Update Date
2015-06-01
Business Address
-- GRACIE BERRY BS
413 CHURCH ST
LANCASTER, PA 17602
Phone number: 413-931-1564
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Mailing Address
-- GRACIE BERRY BS
413 CHURCH ST
LANCASTER, PA 17602-4413
Phone number: 413-931-1564
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