Individual
KATELYN R KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3535 MARKET STREET, MEZZANINE LEVEL, PHILADELPHIA, PA 19104-3317
(215) 764-4100
(215) 746-4116
Mailing address
3535 MARKET STREET, MEZZANINE LEVEL, PHILADELPHIA, PA 19104-3317
(215) 764-4100
(215) 746-4116
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW021708
PA
Other
Enumeration date
09/22/2016
Last updated
11/17/2021
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