Ernestine Green-randall MFT

NPI 1285963173 - Marriage & Family Therapist - 106H00000X

NPI Details
NPI 1285963173
Gender Female
Enumeration Date 12/23/2009
Last Updated 12/23/2009
Entity Type Individual
Active Over 6 years ago
Practice Location
1517 DURHAM RD
PENNDEL PA, 19047-5707, US
Phone (215) 752-1541
Fax
Business Location
16 RADCLIFF PL
WILLINGBORO NJ, 08046-2521, US
Phone
Fax
Toxanomy
Taxonomy Code 106H00000X
License State
License Number
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According to our database, Ernestine Green-randall MFT NPI is 1285963173, taxonomy code is 106H00000X Ernestine Green-randall MFT physically located at 1517 Durham Rd, Penndel PA, 19047-5707. NPI Number Ernestine Green-randall MFT has the Individual type.

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1285963173 NPI number is provided on an as is basis without warranty of any kind. 1285963173 is maintained by the National Plan & Provider Enumeration System. The contents of Ernestine Green-randall MFT are for informational purposes only.