Individual
WILLIAM KPANAH GOWAH BARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LBSC
Contact information
Practice address
9229 BLUE GRASS RD, APT 1, PHILADELPHIA, PA 19114-4375
(267) 777-2631
Mailing address
9229 BLUE GRASS RD, APT 1, PHILADELPHIA, PA 19114-4375
(267) 777-2631
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH002703
PA
Other
Enumeration date
09/23/2015
Last updated
09/23/2015
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