Individual
WANDA LYNETTI WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.,LBS
Contact information
Practice address
5005 N 8TH ST, PHILADELPHIA, PA 19120-3105
(267) 283-6899
Mailing address
5005 N 8TH ST, PHILADELPHIA, PA 19120-3105
(267) 283-6899
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
BH006220
PA
171W00000X
Contractor
BH006222
PA
Other
Enumeration date
03/20/2024
Last updated
03/20/2024
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