Individual
PATRICIA KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1727 S MOLE ST, PHILADELPHIA, PA 19145-2218
(917) 617-8882
Mailing address
1727 S MOLE ST, PHILADELPHIA, PA 19145-2218
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/22/2025
Last updated
04/22/2025
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