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MR. FENNEL EDWARD KPOLIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LSW

Contact information

Practice address
1239 PARKWAY AVE STE 102, EWING, NJ 08628-3000
(609) 394-3010
(609) 394-3010
Mailing address
4512 KIRKWOOD HWY, STE 300, WILMINGTON, DE 19808-5129
(302) 623-7515

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05587600
NJ
1041C0700X
Clinical Social Worker
Q1-0012005
DE

Other

Enumeration date
08/27/2019
Last updated
05/31/2022
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