Organization
FRUITS OF THE FAMILY TABLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARELL WINONA WILSON LMSW (EXECUTIVE DIRECTOR)
(267) 760-3807
Entity
Organization
Contact information
Practice address
2929 ARCH STREET, SUITE 1700, PHILADELPHIA, PA 19104-2857
(267) 410-6188
Mailing address
2929 ARCH STREET, SUITE 1700, PHILADELPHIA, PA 19104-2857
(267) 410-6188
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251B00000X
Case Management Agency
—
—
Other
Enumeration date
09/03/2025
Last updated
09/03/2025
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