Individual
BRIANNA TALIA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6122 RIDGE AVE, PHILADELPHIA, PA 19128-1603
(215) 508-6700
Mailing address
127 N MADISON AVE, UPPER DARBY, PA 19082-1311
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/24/2017
Last updated
08/24/2017
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