Individual
JONAS EHUDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1401 S 4TH ST, PHILADELPHIA, PA 19147-5948
(215) 339-1070
(215) 339-1080
Mailing address
1401 S 31ST ST FL 2, PHILADELPHIA, PA 19146-3506
(215) 925-2400
(215) 925-9162
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW019528
PA
Other
Enumeration date
07/14/2017
Last updated
07/14/2017
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