Individual
KATHRYN PULTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3550 MARKET ST FL 5, PHILADELPHIA, PA 19104-3364
(267) 285-7725
Mailing address
3550 MARKET ST FL 5, PHILADELPHIA, PA 19104-3364
(267) 285-7725
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1034545000001
—
PA
Enumeration date
11/05/2019
Last updated
11/05/2019
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