Individual
JACK HARMELIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1518 WALNUT ST STE 607, PHILADELPHIA, PA 19102-3404
(215) 253-8361
Mailing address
925 DICKINSON ST UNIT 18011, PHILADELPHIA, PA 19147-6357
(215) 253-8361
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CW024931
PA
Other
Enumeration date
10/06/2023
Last updated
09/05/2024
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