Individual
MS. VIVIAN POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
112 N BROAD ST, PHILA, PA 19102-1510
(215) 568-0860
Mailing address
5738 N 12TH ST, PHILADELPHIA, PA 19141-4111
(215) 224-2821
(215) 224-0623
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/27/2007
Last updated
07/27/2007
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