Individual
KAITLYN TULLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
116 W BALTIMORE AVE, MEDIA, PA 19063-3206
(610) 638-6738
Mailing address
101 NATHANIEL DR, HOCKESSIN, DE 19707-1803
(302) 509-9718
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/15/2025
Last updated
05/15/2025
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