Individual
KATHLEEN O'HEARN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
1331 PINE ST FL 3F, PHILADELPHIA, PA 19107-5822
(856) 535-4054
Mailing address
1331 PINE ST FL 3F, PHILADELPHIA, PA 19107-5822
(856) 535-4054
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/19/2025
Last updated
04/09/2025
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