Individual
MS. KELLY JUDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8612 GERMANTOWN AVE # 2F, PHILADELPHIA, PA 19118-2874
(267) 291-4385
Mailing address
32 W ALLENS LN, PHILADELPHIA, PA 19119-1637
(267) 291-4385
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW016822
PA
Other
Enumeration date
01/06/2011
Last updated
03/18/2025
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