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Individual

MS. JAMELLA T MCKINLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
112 N BROAD ST, RM 821, PHILADELPHIA, PA 19102-1512
(215) 568-0860
(215) 568-0769
Mailing address
1997 PLYMOUTH ST, PHILADELPHIA, PA 19138-2721
(215) 694-9221

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
05/06/2009
Last updated
05/06/2009
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