Individual
COLIN PATRICK O'NEILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2901 ISLAND AVE, PHILADELPHIA, PA 19153-3013
(267) 713-4100
Mailing address
2901 ISLAND AVE, PHILADELPHIA, PA 19153-3013
(267) 713-4100
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW023715
PA
Other
Enumeration date
06/15/2023
Last updated
06/15/2023
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