Individual
MS. JENNIFER BARNETT POLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
5619 VINE ST, PHILADELPHIA, PA 19139-1302
(215) 471-2761
Mailing address
5619 VINE ST, PHILADELPHIA, PA 19139-1302
(215) 471-2761
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW017523
PA
Other
Enumeration date
06/28/2013
Last updated
06/28/2013
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