Individual
KELLY JEAN EARL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
723 WHEATLAND ST STE 1A, PHOENIXVILLE, PA 19460-5361
(610) 415-9301
Mailing address
616 E MARSHALL ST, NORRISTOWN, PA 19401-5137
(610) 585-4470
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW017150
PA
Other
Enumeration date
03/16/2012
Last updated
03/16/2012
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