Individual
JACQUELINE CUOMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
5100 N 3RD ST, PHILADELPHIA, PA 19120-3311
(215) 400-3780
Mailing address
5100 N 3RD ST, PHILADELPHIA, PA 19120-3311
(215) 400-3780
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
SW140084
PA
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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