Individual
MARY JEAN KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3600 MARKET ST STE 601, PHILADELPHIA, PA 19104
(267) 940-5512
Mailing address
1218 ARCH ST FL 6, PHILADELPHIA, PA 19107-2816
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01840022
—
PA
Enumeration date
03/05/2007
Last updated
01/22/2019
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