Individual
MR. KAHLIL A SHEPHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.SW
Contact information
Practice address
1315 WALNUT ST, LOWER LEVEL, PHILADELPHIA, PA 19107-4719
(215) 545-2000
Mailing address
1315 WALNUT ST, LOWER LEVEL, PHILADELPHIA, PA 19107-4719
(215) 545-2000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CW015637
PA
Other
Enumeration date
01/05/2009
Last updated
01/05/2009
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