Provider Information for 1770210155
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GISELLE DEGRAFENREID LCSW-C
Sex: Female
NPI: 1770210155
Last Updated: 2022-08-04
Certification Date: 2022-08-04
Certification Date: 2022-08-04
Details
Name | Value | ||||||||
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NPI | 1770210155 | ||||||||
Enumeration Date | 2022-08-04 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | NO | ||||||||
Status | Active | ||||||||
Mailing Address | 1105 DEER MOUNTAIN DR HARPERS FERRY, WV 25425-5478 United States Phone: 301-728-5572 | Fax: | ||||||||
Primary Practice Address | 7500 HARFORD RD STE 1 PARKVILLE, MD 21234-6900 United States Phone: 410-240-1162 | Fax: | ||||||||
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