Individual
KELLEY ANN COADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, HSV
Contact information
Practice address
512 PLYMOUTH RD, GLENSIDE, PA 19038-2819
(856) 261-5936
Mailing address
512 PLYMOUTH RD, GLENSIDE, PA 19038-2819
(856) 261-5936
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW020415
PA
Other
Enumeration date
04/01/2020
Last updated
04/01/2020
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