Individual
JESSICA FOLTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
153 LARKSPUR ST, PHILADELPHIA, PA 19116-2701
(267) 256-2130
Mailing address
153 LARKSPUR ST, PHILADELPHIA, PA 19116-2701
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW017653
PA
Other
Enumeration date
06/06/2016
Last updated
06/06/2016
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