Individual
KEVIN GUCKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2056 E BOSTON ST, PHILADELPHIA, PA 19125-1622
(215) 208-9297
Mailing address
2056 E BOSTON ST, PHILADELPHIA, PA 19125-1622
(215) 208-9297
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW021653
PA
Other
Enumeration date
02/11/2021
Last updated
02/11/2021
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