Individual
VININA DAFAYE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
221 67TH AVE, PHILADELPHIA, PA 19126-3128
(215) 500-6683
Mailing address
221 67TH AVE, PHILADELPHIA, PA 19126-3128
(215) 500-6683
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0000000000
PA
Other
Enumeration date
04/16/2009
Last updated
04/16/2009
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