Individual
KENNETH MEEHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1009 SHADELAND AVE, DREXEL HILL, PA 19026-1912
(610) 291-8648
Mailing address
1009 SHADELAND AVE, DREXEL HILL, PA 19026-1912
(610) 291-8648
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW015054
PA
Other
Enumeration date
01/03/2010
Last updated
01/03/2010
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