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Individual

MAGGIE LYONS-JOHNSON

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
PC

Contact information

Practice address
1401 S 4TH ST, PHILA, PA 19147-5907
(215) 339-1079
Mailing address
432 N 6TH ST, PHILA, PA 19123-4004
(215) 925-2400

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PC003868
PA

Other

Enumeration date
06/08/2006
Last updated
07/08/2007
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