Individual
MRS. JACQUELINE JAFFE O'DUOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2305 FAIRMOUNT AVE, PHILADELPHIA, PA 19130-2515
(267) 329-9393
Mailing address
5109 KINGSESSING AVE, APT 2, PHILADELPHIA, PA 19143-4327
(267) 329-9393
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW017676
PA
Other
Enumeration date
08/28/2012
Last updated
03/17/2016
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