Individual
KELLY WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5839 CEDAR AVE, PHILADELPHIA, PA 19143-1933
(267) 237-4636
Mailing address
5839 CEDAR AVE, PHILADELPHIA, PA 19143-1933
(267) 237-4636
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW021542
PA
Other
Enumeration date
12/26/2012
Last updated
03/30/2026
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