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Organization
QUEEN VILLAGE THERAPY, LLC
Active
Organization
QUEEN VILLAGE THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAITLYN MCMAHON LCSW (OWNER/THERAPIST)
(267) 585-6055
Entity
Organization
Contact information
Practice address
1150 1ST AVE STE 511, KING OF PRUSSIA, PA 19406
(267) 585-6055
Mailing address
622 S 4TH ST UNIT 63825, PHILADELPHIA, PA 19147-1644
(267) 585-6055
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/14/2021
Last updated
10/14/2021
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