Individual
ALFRED JARDIAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6418 CHELWYNDE AVE, PHILADELPHIA, PA 19142-3017
(267) 678-8736
Mailing address
6418 CHELWYNDE AVE, PHILADELPHIA, PA 19142-3017
(267) 678-8736
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
25548989
PA
251B00000X
Case Management Agency
25548989
PA
251E00000X
Home Health Agency
25548989
PA
Other
Enumeration date
02/23/2015
Last updated
02/23/2015
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