Individual
MRS. JEANNEL GRAHAM-TILLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
5216 W STILES ST, PHILADELPHIA, PA 19131-4326
(267) 825-1279
Mailing address
5216 W STILES ST, PHILADELPHIA, PA 19131-4326
(267) 825-1279
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
SW127204
PA
Other
Enumeration date
07/11/2013
Last updated
07/11/2013
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