Individual
MS. JACQUELINE N TRAVWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1548 N 28TH ST, PHILADELPHIA, PA 19121-3619
(267) 338-6614
Mailing address
1548 N 28TH ST, PHILADELPHIA, PA 19121-3619
(267) 338-6614
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW135808
PA
Other
Enumeration date
01/09/2025
Last updated
01/09/2025
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