Individual
JEROME HOLLOMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
743 N HOLLY ST, PHILADELPHIA, PA 19104-1724
(267) 585-5628
Mailing address
743 N HOLLY ST, PHILADELPHIA, PA 19104-1724
(267) 585-5628
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW025812
PA
Other
Enumeration date
02/12/2021
Last updated
04/29/2025
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