Individual
MERONDA KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2424 E YORK ST # 100-0, PHILADELPHIA, PA 19125-3026
(610) 680-6845
Mailing address
2424 E YORK ST # 100-0, PHILADELPHIA, PA 19125-3026
(610) 680-6845
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
08/29/2014
Last updated
05/11/2024
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