Individual
ANTONIA JIMENEZ-TRAIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
1123 MARLYN RD, PHILA, PA 19151-3124
(215) 240-2745
Mailing address
1123 MARLYN RD, PHILA, PA 19151-3124
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW026749
PA
Other
Enumeration date
01/30/2026
Last updated
01/30/2026
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