Individual
JORDAN MARISA ROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, MA
Contact information
Practice address
245 S 16TH ST, PHILADELPHIA, PA 19102-3332
(267) 255-2813
Mailing address
245 S 16TH ST, PHILADELPHIA, PA 19102-3332
(267) 255-2813
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/22/2024
Last updated
03/22/2024
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