Individual
ALLI DOMERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
390 REED RD FL 1, BROOMALL, PA 19008-4008
(484) 450-6476
(484) 224-3398
Mailing address
390 REED RD FL 1, BROOMALL, PA 19008-4008
(484) 450-6476
(484) 224-3398
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/18/2015
Last updated
04/06/2020
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