Individual
SHANA ERNEIL WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHS
Contact information
Practice address
1315 SPRUCE ST, PHILADELPHIA, PA 19107-5601
(267) 331-3219
Mailing address
1618 E ROUMFORT RD FL 2, PHILADELPHIA, PA 19150-1018
(267) 331-3219
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/14/2018
Last updated
11/14/2018
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