Individual
MS. KATHERINE WAKEFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
124 CHESTNUT ST, PHILADELPHIA, PA 19106-3009
(215) 486-6225
Mailing address
401 RACE ST APT 309, PHILADELPHIA, PA 19106-1027
(302) 519-7230
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
CW022178
PA
1041C0700X
Clinical Social Worker
Primary
Q1-0011992
DE
Other
Enumeration date
01/18/2022
Last updated
12/03/2024
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