Individual
KATHLEEN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
100 W SIXTH ST, SUITE 305, MEDIA, PA 19063-2428
(484) 445-4147
(484) 445-4149
Mailing address
94 PARK VALLEI LN, BROOKHAVEN, PA 19015-3323
(610) 836-1450
(484) 445-4149
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW130561
PA
Other
Enumeration date
11/24/2014
Last updated
10/07/2016
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