Individual
MR. JOHN CHARLTON KANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
618 YALE RD, BALA CYNWYD, PA 19004-2219
(646) 647-4179
Mailing address
618 YALE RD, BALA CYNWYD, PA 19004-2219
(646) 647-4179
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
122036-01
NY
Other
Enumeration date
12/01/2023
Last updated
12/01/2023
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