| Kim Meredith | |
|
1823 Callowhill St Philadelphia PA 19130-4109 | |
| (212) 496-0707 | |
| (215) 496-0742 |
| Full Name | Kim Meredith |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1823 Callowhill St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Andrea Ettingoff (DIRECTOR OF CLINICAL & QA) |
| Authorized Official Contact | 2154969797 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kim Meredith 1823 Callowhill St Philadelphia PA 19130-4109 Ph: (212) 496-0707 | Kim Meredith 1823 Callowhill St Philadelphia PA 19130-4109 Ph: (212) 496-0707 |
| NPI Number | 1821292053 |
|---|---|
| Provider Enumeration Date | 06/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821292053 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CW014399 (Pennsylvania) | Primary |
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