Individual
KELLY O'NEILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1211 CHESTNUT ST FL 5, PHILADELPHIA, PA 19107-4117
(215) 665-8670
Mailing address
306 ANTHEM WAY, CHALFONT, PA 18914-1930
(609) 425-6298
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW022301
PA
Other
Enumeration date
12/28/2023
Last updated
12/28/2023
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