Individual
JONATHAN DAVID PICKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1139 E LUZERNE ST, PHILADELPHIA, PA 19124-5234
(215) 537-5094
Mailing address
1139 E LUZERNE ST, PHILADELPHIA, PA 19124-5234
(215) 537-5094
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW20839
PA
Other
Enumeration date
03/19/2020
Last updated
03/19/2020
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