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Individual

MR. JERMAINE T WILLIAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA

Contact information

Practice address
2288 2ND STREET PIKE, NEWTOWN, PA 18940
(215) 598-0223
Mailing address
117 W 65TH AVE, PHILADELPHIA, PA 19120-1026
(215) 668-4730
(215) 548-1482

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
103K00000X
Behavior Analyst

Other

Enumeration date
05/27/2010
Last updated
05/27/2010
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