Individual
ROBERT WILLIFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSS
Contact information
Practice address
210 RYERS AVE, CHELTENHAM, PA 19012-2226
(215) 582-5589
Mailing address
210 RYERS AVE, CHELTENHAM, PA 19012-2226
(215) 582-5589
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW008435L
PA
1041C0700X
Clinical Social Worker
SW008435L
PA
Other
Enumeration date
05/18/2020
Last updated
05/18/2020
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