Individual
MITZIE MAY LYONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA MS LBC
Contact information
Practice address
222 N MAPLE AVE, LANSDOWNE, PA 19050-1609
(215) 939-7005
Mailing address
3720 SPRUCE ST STE 295, PHILADELPHIA, PA 19104-4115
(215) 939-7005
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
BH000312
PA
Other
Enumeration date
07/16/2021
Last updated
07/16/2021
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