Individual
JOAN LAMBERTH-WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4967 N 8TH ST, PHILADELPHIA, PA 19120-3709
(267) 575-8403
Mailing address
4967 N 8TH ST, PHILADELPHIA, PA 19120-3709
(267) 575-8403
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
BH001479
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4612644434
IRS EMPLOYER IDENTIFICATION NUMBER
PA
Enumeration date
07/16/2015
Last updated
07/16/2015
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