Individual
JILL P FARABELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW LCSW
Contact information
Practice address
1 COTTON ST APT 423, PHILADELPHIA, PA 19127-1559
(619) 709-7622
Mailing address
1 COTTON ST APT 423, PHILADELPHIA, PA 19127-1559
(619) 709-7622
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW017413
PA
Other
Enumeration date
09/26/2018
Last updated
09/26/2018
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