Individual
MS. JILL SUZANNE MAIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
2305 FAIRMOUNT AVE, PHILADELPHIA, PA 19130-2515
(215) 749-2433
Mailing address
2503 OLIVE ST, PHILADELPHIA, PA 19130-2423
(215) 749-2433
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PC004409
PA
Other
Enumeration date
07/24/2012
Last updated
07/24/2012
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