Individual
MRS. LISA BICKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
112 N BROAD ST, PHILA, PA 19102-1510
(215) 568-0860
(215) 568-0769
Mailing address
4642 CASTOR AVE, PHILA, PA 19124-3025
(215) 568-0860
(215) 825-3701
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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