Individual
KYERSTYN O'HARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
510 WALNUT ST STE 1425, PHILADELPHIA, PA 19106-3622
(610) 892-3800
Mailing address
510 WALNUT ST STE 1425, PHILADELPHIA, PA 19106-3622
(610) 892-3800
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW025741
PA
Other
Enumeration date
04/16/2025
Last updated
06/27/2025
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