Jeannel Graham-tillman LSW

NPI 1063853695 - Counselor - 101YM0800X

NPI Details
NPI 1063853695
Gender Female
Enumeration Date 07/11/2013
Last Updated 07/11/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
5216 W STILES ST
PHILADELPHIA PA, 19131-4326, US
Phone (267) 825-1279
Fax
Business Location
5216 W STILES ST
PHILADELPHIA PA, 19131-4326, US
Phone (267) 825-1279
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State Pennsylvania
License Number SW127204
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According to our database, Mrs. Jeannel Graham-tillman LSW NPI is 1063853695, taxonomy code is 101YM0800X and license number is SW127204, license state is located at Pennsylvania. Jeannel Graham-tillman LSW physically located at 5216 W Stiles St, Philadelphia PA, 19131-4326. NPI Number Jeannel Graham-tillman LSW has the Individual type.

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1063853695 NPI number is provided on an as is basis without warranty of any kind. 1063853695 is maintained by the National Plan & Provider Enumeration System. The contents of Jeannel Graham-tillman LSW are for informational purposes only.