Individual
JOHN KRALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
21 PARK AVE, MEDIA, PA 19063-4942
(510) 307-6194
Mailing address
21 PARK AVE, MEDIA, PA 19063-4942
(510) 307-6194
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW016581
PA
Other
Enumeration date
02/08/2024
Last updated
02/08/2024
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