Individual
MRS. JACQUELINE QUEEN SILVERHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1903 S. BROAD ST., PHILADELPHIA, PA 19145-2328
(215) 339-4563
Mailing address
1 ACADEMY CIR, UNIT 308, PHILADELPHIA, PA 19146-5239
(843) 697-0398
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW017169
PA
Other
Enumeration date
03/20/2012
Last updated
06/07/2012
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