Individual
GILLIAN ALEXIS POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2517 E GORDON ST, PHILADELPHIA, PA 19125-3622
(609) 513-0283
Mailing address
2517 E GORDON ST, PHILADELPHIA, PA 19125-3622
(609) 513-0283
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL013769
PA
Other
Enumeration date
05/07/2018
Last updated
05/07/2018
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