LYDELL STACEY DAVIS

PHILADELPHIA, PA
NPI1083487409
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2023-11-07
Last Update Date2023-11-07
Business Address
LYDELL STACEY DAVIS
1629 W RUSCOMB ST
PHILADELPHIA, PA 19141-1539
Phone number: 215-888-1524
Mailing Address
LYDELL STACEY DAVIS
1629 W RUSCOMB ST
PHILADELPHIA, PA 19141-1539
Phone number:
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