Individual
KATHERYN KUCHARSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
136 DIAMOND ST, PHILADELPHIA, PA 19122-1721
(215) 426-8100
Mailing address
136 DIAMOND ST, PHILADELPHIA, PA 19122-1721
(215) 426-8100
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW133290
PA
Other
Enumeration date
10/13/2016
Last updated
10/13/2016
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