Registry details
Type
Individual
Primary specialty
Nurse Practitioner, Psych/Mental Health
Enumerated
Mar 11, 2006
License(s)
TP004028B (PA), TP004028B (PA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 3201 SPRING RD | Carlisle, PA 17013-8741 | 717-241-2118 |
| LOCATION | 49 BROOKWOOD AVE | Carlisle, PA 17013-9126 | 717-258-1462 |
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