Individual
ASHLEY O'MALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3901 MARKET ST, BOX 1934, PHILADELPHIA, PA 19104-3133
(215) 387-6055
(215) 387-7989
Mailing address
3901 MARKET ST, BOX 1934, PHILADELPHIA, PA 19104-3133
(215) 387-6055
(215) 387-7989
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101995771 0001
—
PA
Enumeration date
09/26/2007
Last updated
12/26/2007
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