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Individual

MS. JORDAN KOTLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
766 N 44TH ST, PHILADELPHIA, PA 19104-1362
(215) 823-8203
Mailing address
2201 PENNSYLVANIA AVE APT 212, PHILADELPHIA, PA 19130-3521
(301) 793-2316

Taxonomy

Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
SW138282
PA

Other

Enumeration date
11/27/2023
Last updated
12/04/2024
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