Individual
KENISHA REID WILKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
2817 W GLENWOOD AVE, PHILADELPHIA, PA 19121-1810
(215) 720-5787
Mailing address
2817 W GLENWOOD AVE, PHILADELPHIA, PA 19121-1810
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW136983
PA
Other
Enumeration date
06/13/2022
Last updated
06/13/2022
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