Individual
BRANDON DAVID LILLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
2001 E MARKET ST, YORK, PA 17402-2841
(717) 741-0000
(717) 668-8353
Mailing address
2101 N SHERMAN ST, YORK, PA 17406-1537
(717) 891-1749
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW137311
PA
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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