Individual
JESSICA LAVALLEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
100 LEVERING ST, PHILADELPHIA, PA 19127-1447
(610) 290-3882
Mailing address
100 LEVERING ST, PHILADELPHIA, PA 19127-1447
(610) 290-3882
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW141242
PA
Other
Enumeration date
11/10/2025
Last updated
11/10/2025
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