Individual
MARLENE C. WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
412 E EAGLE RD, HAVERTOWN, PA 19083-1635
(610) 449-9669
(610) 449-5566
Mailing address
412 E EAGLE RD, HAVERTOWN, PA 19083-1635
(610) 449-9669
(610) 449-5566
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
14559
PA
101YP2500X
Professional Counselor
14559
PA
225A00000X
Music Therapist
Primary
14559
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1017128200001
—
PA
Enumeration date
11/02/2007
Last updated
11/02/2007
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