Individual
JENNIFER LYDIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 MARKET ST STE 1500, PHILADELPHIA, PA 19102-2100
(215) 985-2500
Mailing address
311 S 13TH ST APT 603, PHILADELPHIA, PA 19107-5967
(917) 930-9851
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW022507
PA
Other
Enumeration date
11/24/2009
Last updated
10/11/2022
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