Individual
JESSICA T. ALSIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
390 REED RD FL 1, BROOMALL, PA 19008-4008
(484) 450-6476
(484) 224-3398
Mailing address
47 N NEW ARDMORE AVE, BROOMALL, PA 19008-3019
(484) 450-6476
(610) 544-7142
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
CW000000
PA
Other
Enumeration date
04/30/2015
Last updated
05/10/2018
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