Individual
KARA BACCHIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1827 FAIRMOUNT AVE APT 2, PHILADELPHIA, PA 19130-2187
(610) 888-6256
Mailing address
1827 FAIRMOUNT AVE APT 2, PHILADELPHIA, PA 19130-2187
(610) 888-6256
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW021694
PA
Other
Enumeration date
06/10/2021
Last updated
06/10/2021
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