Individual
MRS. REGINA MARIE JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
641 GREEN BRIAR RD, ELKINS PARK, PA 19027-1510
(215) 514-0717
Mailing address
641 GREEN BRIAR RD, ELKINS PARK, PA 19027-1510
(215) 514-0717
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
PA
Other
Enumeration date
08/10/2021
Last updated
08/10/2021
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