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1336762707
KELLY SMACK
PHILADELPHIA, PA
NPI
1336762707
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: PA SW136943)
Enumeration Date
2020-05-20
Last Update Date
2020-05-20
Business Address
-- KELLY SMACK LSW
1526 S HICKS ST
PHILADELPHIA, PA 19146-4821
Phone number: 267-540-8675
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Mailing Address
-- KELLY SMACK LSW
1526 S HICKS ST
PHILADELPHIA, PA 19146-4821
Phone number: 215-275-7185
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