Most Relevant Information
Provider Data
| NPI Number: | 1003488941 |
| Provider Name: | KIM DWYER LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | CW022316 |
Most Important Dates
| Enumeration Date: | 07/12/2021 |
| Last Updated: | 01/05/2024 |
Provider Practice Location
535 TURNER AVE
DREXEL HILL
PA
190261421
Practice Location Phone/Fax
| Phone: | 7322727890 |
| Fax: |
Provider Mailing Location
2100 KEYSTONE AVE STE 404
DREXEL HILL
PA
190261130
Provider Mailing Phone/Fax
| Phone: | 7322727890 |
| Fax: |