Individual
KELLIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7552 FRANKFORD AVE, PHILADELPHIA, PA 19136-3534
(267) 254-6884
Mailing address
241 S 47TH ST APT 103, PHILADELPHIA, PA 19139-4408
(240) 997-9315
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
07/28/2020
Last updated
07/28/2020
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