Individual
JARROD L BALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
5615 LEBANON AVE, PHILADELPHIA, PA 19131-3126
(215) 857-8055
Mailing address
5615 LEBANON AVE, PHILADELPHIA, PA 19131-3126
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW020086
PA
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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