Individual
SUZETTE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
8025 BRUNSWICK AVE, PHILADELPHIA, PA 19153-2606
(912) 980-6895
Mailing address
8025 BRUNSWICK AVE, PHILADELPHIA, PA 19153-2606
(912) 980-6895
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
MSW006244
GA
104100000X
Social Worker
Primary
SW132564
PA
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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