Individual
JALANCIA THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
129 HOUSTON RD, LANSDOWNE, PA 19050-1709
(215) 200-0222
Mailing address
129 HOUSTON RD, LANSDOWNE, PA 19050-1709
(215) 200-0222
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
BH003384
PA
Other
Enumeration date
04/18/2019
Last updated
04/18/2019
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