Individual
JALICIA FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8423 THOURON AVE, PHILADELPHIA, PA 19150-2308
(215) 303-5612
Mailing address
8423 THOURON AVE, PHILADELPHIA, PA 19150-2308
(215) 303-5612
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/26/2023
Last updated
04/26/2023
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