Individual
KELLIE QUARTERMUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
850 N 11TH ST, PHILADELPHIA, PA 19123-1957
(215) 769-1100
Mailing address
850 N 11TH ST, PHILADELPHIA, PA 19123-1957
(215) 769-1100
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW019790
PA
1041C0700X
Clinical Social Worker
SW130691
PA
Other
Enumeration date
09/09/2016
Last updated
06/05/2025
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