Individual
ANNALIESE MAE HEE KIESNOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1348 BAINBRIDGE ST, PHILADELPHIA, PA 19147-1810
(267) 360-5984
Mailing address
212 SIGEL ST, PHILADELPHIA, PA 19148-1930
(202) 407-0010
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW134790
PA
Other
Enumeration date
05/28/2020
Last updated
11/27/2023
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