Individual
YASMIN AYANNA KISHUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
3600 MARKET ST FL 6, PHILADELPHIA, PA 19104-2669
(215) 586-7600
Mailing address
1216 ARCH ST FL 6, PHILADELPHIA, PA 19107-2835
(215) 981-0088
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/01/2025
Last updated
04/01/2025
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