Individual
KEVIN REID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1208 S 7TH ST, PHILADELPHIA, PA 19147-4840
(267) 279-5134
Mailing address
1208 S 7TH ST, PHILADELPHIA, PA 19147-4840
(267) 279-5134
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW133395
PA
Other
Enumeration date
07/25/2016
Last updated
07/25/2016
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