Individual
GRETA KAESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 N 49TH ST, PHILADELPHIA, PA 19139-2718
(215) 471-2600
Mailing address
414 S 44TH ST APT A4, PHILADELPHIA, PA 19104-3923
(507) 261-7239
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW137344
PA
Other
Enumeration date
07/19/2023
Last updated
07/30/2023
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