Individual
KANIKA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2812 N VAN PELT ST, PHILADELPHIA, PA 19132-2643
(267) 992-1032
Mailing address
2812 N VAN PELT ST, PHILADELPHIA, PA 19132-2643
(267) 992-1032
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
02/06/2020
Last updated
02/06/2020
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