Individual
MILDRED KENNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1333 68TH ST, PHILADELPHIA, PA 19126
(267) 456-8484
Mailing address
1333 68TH ST, PHILADELPHIA, PA 19126
(267) 456-8484
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
Q3-0000286
DE
Other
Enumeration date
06/24/2020
Last updated
06/24/2020
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