Organization
GUIDING LIGHT CHRISTIAN SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMIKA MARIE JOHNSON LCSW (CLINICAL SOCIAL WORKER)
(215) 767-2338
Entity
Organization
Contact information
Practice address
276 W. CHERRY LANE, SOUDERTON, PA 18964-1896
(215) 767-2338
(215) 767-2338
Mailing address
112 W 6TH ST, LANSDALE, PA 19446-2429
(215) 767-2338
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW019561
PA
Other
Enumeration date
08/04/2017
Last updated
08/04/2017
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