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Individual

KATIE L RADIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
3900 WOODLAND AVE, PHILADELPHIA, PA 19104-4551
(215) 823-5800
Mailing address
261 W GRAISBURY AVE, AUDUBON, NJ 08106-2341

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05813100
NJ

Other

Enumeration date
07/12/2021
Last updated
11/15/2024
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