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This ladies' praying hands and serenity prayer medal necklace is made of solid sterling silver. 18-inch sterling silver lite curb chain with lobster clasp. The medal has praying hands on the front. The back of the medal is engraved with the serenity prayer. Pendant size: 1/2in x 7/8in. This item is the size of a penny. Die struck, hand-engraved. Made in USA.