Individual
JODI HOULON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7700 GERMANTOWN AVE, PHILADELPHIA, PA 19118-3549
(215) 247-1172
(215) 247-0663
Mailing address
6657 WAYNE AVE, PHILADELPHIA, PA 19119-3521
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW019843
PA
Other
Enumeration date
09/07/2018
Last updated
09/07/2018
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