Individual
MS. KELLY L. DEVINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6122 RIDGE AVE, ROXBROUGH, PA 19128
(215) 487-1330
Mailing address
6122 RIDGE AVE, PHILADELPHIA, PA 19128
(215) 487-1330
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/24/2016
Last updated
02/24/2016
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