Individual
MISS BARBARA GILLIAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6243 LAWNDALE AVE, PHILADELPHIA, PA 19111-5705
(215) 847-7061
Mailing address
6243 LAWNDALE AVE, PHILADELPHIA, PA 19111-5705
(215) 847-7061
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
25419355
PA
Other
Enumeration date
07/25/2015
Last updated
07/25/2015
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