Individual
KENNETH ATTAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 DELAWARE AVE, WILMINGTON, DE 19801-1607
(215) 681-3425
Mailing address
8215 LINDBERGH BLVD, PHILADELPHIA, PA 19153-1010
(126) 797-3778
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
Q3-0000331
DE
Other
Enumeration date
02/12/2021
Last updated
02/12/2021
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