Individual
ANNE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW, M.ED
Contact information
Practice address
2913 KENSINGTON AVE, PHILADELPHIA, PA 19134-3016
(215) 589-5555
(215) 634-5271
Mailing address
2913 KENSINGTON AVE, PHILADELPHIA, PA 19134-3016
(215) 634-5272
(215) 634-5271
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06550900
NJ
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/11/2016
Last updated
02/01/2021
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