Individual
COURTNEY KENNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
409 W ELLET ST, PHILADELPHIA, PA 19119-3016
(610) 715-5942
Mailing address
409 W ELLET ST, PHILADELPHIA, PA 19119-3016
(610) 715-5942
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/15/2022
Last updated
06/15/2022
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