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Individual
WILLI PHAM
Active
Individual
WILLI PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW133028
PA
1041C0700X
Clinical Social Worker
Primary
CW024353
PA
Other
Enumeration date
11/11/2020
Last updated
03/08/2026
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