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Organization
FRUITS OF THE FAMILY TABLE
Active
Organization
FRUITS OF THE FAMILY TABLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARELL WINONA WILSON LMSW (EXECUTIVE DIRECTOR)
(267) 760-3807
Entity
Organization
Contact information
Practice address
2929 ARCH STREET, SUITE 1700, PHILADELPHIA, PA 19104-2857
(267) 410-6188
Mailing address
2929 ARCH STREET, SUITE 1700, PHILADELPHIA, PA 19104-2857
(267) 410-6188
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
NULL
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
NULL
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251B00000X
Case Management Agency
—
NULL
Other
Enumeration date
09/03/2025
Last updated
09/03/2025
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