Individual
MRS. CATHY DIANE BIRCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.W.
Contact information
Practice address
112 N BROAD ST, RM 821, PHILADELPHIA, PA 19102-1512
(215) 568-0860
(215) 568-0769
Mailing address
29 W UPSAL ST, PHILADELPHIA, PA 19119-2712
(215) 843-0203
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/22/2009
Last updated
04/22/2009
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